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Gallbladder MS 1

QuestionAnswer
Cholecystitis (calculous) Gallstone obstructs bile outflow; inflammation, autolysis, perforation may occur. Cause more than 90% of cases
Cholecystitis (acalculous) Result of major surgical procedure, severe trauma, burns; may also be caused by bacterial infection, multiple blood transfusions
Cholecystitis manifestations None or minimal; pain, fever, biliary colic, jaundice, changes in urine or stool color, vitamin deficiency (A, D, E, K)
Cholecystitis diagnosis Ultrasound, CT scan, endoscopic retrograde cholangiopancreatography (ERCP), abdominal x-ray
ERCP nursing care IV sedation, NPO 6-8 hours prior, remove dentures, glucagon admin, monitor respiratory and CNS depression
Laparoscopic Cholecystectomy Drainage tubes and NG suction may be necessary, general anesthesia is used, instructions for turning, deep breathing, early ambulation. Patients discharged within 1-2 days. 4-point incision
Cholecystectomy (open) Indicated w/ severe disease, inflammation. Incision RUQ, below ribs. Drain placed close to gallbladder, t-tube in CBD
Created by: Haydenmeh
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