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Gallbladder Disease

Medical-Surgical Nursing

What is cholelithiasis? Gallstones
What is cholecystitis? Inflammation of the gallbladder
True or False: A person can have cholelithiasis without cholecystitis. True
What drugs are associated with an increased risk of gallbladder disease? Estrogen replacement therapy and oral contraceptives
Bile that is supersaturated with cholesterol
If the cystic duct is blocked, can bile flow into the duodenum? Yes, through the common bile duct; however, bile can't escape the gallbladder
What is acalculous cholecystitis? Cholecystitis in the absence of obstruction
What drugs are associated with acalculous cholecystitis? Opioids
What is biliary colic? Spasms in the gallbladder in response to a gallstone
What S/S are associated with biliary colic? Tachycardia, diaphoresis, and prostration
Where does pain occur with cholecystitis and cholelithiasis? In the RUQ, but can referred to the scapula
What is cholangitis? Inflammation of the biliary ducts
A stone in the common bile duct
What is used to diagnose cholelithiasis? Ultrasound
What is the normal serum amylase level? 23-85 U/L
What are normal serum bilirubin levels? 0.1-1.2 mg/dL
If serum amylase levels are elevated with gallbladder disease, what should you expect? Pancreatic involvement
True or False: Liver enzymes are usually not elevated with gallbladder disease. False; they usually are elevated.
What drugs are used to dissolve gallstones? Bile acids (cholesterol solvents)
Why are gallstones usually not treated with drugs? Because of the success of laparoscopic cholecystectomy.
What is the main complication of laparoscopic cholecystectomy? Injury to the common bile duct
How soon after laparoscopic cholecystectomy can a patient resume normal activities? 1 week
What are the fat soluble vitamins? A, D, E, and K
Why are anticholinergics used with cholecystitis? To decrease GI secretions and counteract smooth muscle spasms.
What drug is given to relieve pruritus associated with gallbladder disease? Cholestyramine
How is Cholestyramine administered? In powder form mixed with milk or juice.
What diet is best for patients with gallbladder disease? Small, frequent meals with some fat; high in fiber and calcium
Why should rapid weight loss be avoided in patients with gallbladder disease? It can promote gallstone formation
What should the patient eat the rest of the day after laparoscopic cholecystectomy? Liquids only
When can a patient return to a normal diet after incisional cholecystectomy? When bowel sounds return
True or False: Multiparity increases the risk for gallbladder disease. True
What type of baths may relieve pruritus associated with gallbladder disease? Baking soda or Alpha Keri
What are S/S of obstruction of the ducts by stones? Clay-colored stools; dark, foamy urine; steatorrhea; fever; and leukocytosis
How can a patient be positioned to relieve post-op laparoscopic cholecystectomy pain? In Sims' position (on left side with right knee flexed)
True or False: It is normal for a T-tube to drain 300-500 mL of thin, blood-tinged bile the first 24 hours post-op after an incisional cholecystectomy. True
What does post-op nursing care for an incisional cholecystectomy focus on? Adequate ventilation and prevention of respiratory complications
When can a patient shower after laparoscopic cholecystectomy? When the bandages are removed the day after surgery
Created by: shrewsburysd