Exam (elaborations)
NR 325 EXAM 3_ BILIARY DISORDERS (1).
NR 325 EXAM 3_ BILIARY DISORDERS (1).
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NR 325 EXAM 3: BILIARY DISORDERScholecystitis - ANS-inflammation of the gallbladder
signs and symptoms of cholecystitis - ANS--pain, tenderness, rigidity in RUQ
-N/V
calculous cholecystitis - ANS--stone blocks the outflow of bile
-can result in gangrene
Acalculous cholecystitis - ANS--acute gallbladder inflammation in the absence of stones
-cystic duct obstruction
-bacterial infection
pathophysiology of cholelithiasis (gallstones) - ANS--pigment stones
-cholesterol stones
risk factors for cholelithiasis - ANS--FAT 40 FEMALE
-diabetes
-ileal resection
manifestations of cholelithiasis - ANS--none or minimal symptoms
-if the stone obstructs the cystic duct there will be an increase in pain radiating to the back or
the right shoulder
-bile duct obstruction jaundice, dark urine, clay stool
management of cholelithiasis - ANS--diagnostic ultrasound
-ERCP
-start with foods, then meds, then gallbladder removal
nursing considerations for cholelithiasis - ANS--low fowlers position
-NG or NPO until bowel sounds return
-increase diet npc, soft, low fat, high carb
-turn, cough, deep breathing, splinting
acute pancreatitis - ANS--pancreatic duct becomes obstructed and enzymes back up, causing
autodigestion and inflammation
-amylase
-lipase
at risk population for acute pancreatitis - ANS--pt.'s with gallstones
-alcoholic patients
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