Remediation(Cholecystitis Cholelithiasis) PDF

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Summary

ATI remediation...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME _____________________________________

Cholecystitis & Cholelithiasis (Gallstones) DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Cholecystitis is an inflammation of the gallbladder wall Cholelithiasis is the presence of stones in the gallbladder

Rapid weight loss, right upper abdominal pain

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Consume a low fat diet rich in HDL (seafood,nuts, olive oil). Participate in a regular exercise program. Do not smoke

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

most common in women, high fat diet, obesity, older adults

Laboratory Tests

Sharp pain in the right upper quadrant, often radiating to the right shoulder Pain with deep inspiration during right subcostal palpation (Murphys sign) Rebound tenderness Dyspepsia, eructation (belching), and flatulence

Diagnostic Procedures

Increased WBC indicates inflamm bilirubin increased if bile duct obstructed. Amylase and lipase increased with pancreatic involvement.

Ultrasound visualizes gallstones and a dilated common bile duct Abdominal xray or CT scan- visualize calcified gallstones and an enlarged gallbladder Endoscopic retrograde cholangiopancreatography

PATIENT-CENTERED CARE

Nursing Care Administer analgesics

Therapeutic Procedures Cholecystectomy

ACTIVE LEARNING TEMPLATES

Laparoscopic-Instruct the client to ambulate frequently to minimize free air pain Teach the client to report indications of bile leak (pain, vomiting, abdominal distention) to the provider Instruct the client to resume activity gradually. Avoid heavy lifting for 4 to 6 weeks.Tell the client to begin with clear liquids and advance to solid foods as peristalsis returns.

Complications Medications Opioid analgesics, NSAIDS, Bile acid

Client Education Inform the client that several procedures can be required to break up all stones. The client might have pain intraprocedure due to gallbladder spasms or movement of the stones.

Obstruction of the bile duct

Interprofessional Care Dietary counseling

THERAPEUTIC PROCEDURE

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