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BSN LAST TEST-Pt 2 > Biliary: Cholecystitis & Cholecystecomty > Flashcards

Biliary: Cholecystitis & Cholecystecomty Flashcards

1
Q

Risk factors for Cholecystitis?

Age

A

greater than 60 years

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2
Q

Risk factors for Cholecystitis?

male or female?

A

female

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3
Q

Risk factors for Cholecystitis?

race/ethnicity

A
  • American Indian
  • Mexican
  • Caucasian
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4
Q

Risk factors for Cholecystitis?

Pregnancy?

A

yes

**also hormone replacement therapy

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5
Q

Risk factors for Cholecystitis?

Health issues?

A
  • Diabetes
  • Crohn’s Disease
  • Obesity (high fat diet)
  • increased cholesterol
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6
Q

Risk factors for Cholecystitis?

diet

A
  • high fat
  • high cholesterol
  • low calorie
  • liquid protein diet
  • prolonged TPN
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7
Q

Risk factors for Cholecystitis?

surgeries?

A

-gastric bypass (due to rapid weight loss)

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8
Q

After a Cholecystectomy, will a pt have discomfort?

A

Mild to severe

**due to carbon dioxide retention in abdomen

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9
Q

What needs to be assessed after a Cholecystectomy?

A

O2 saturation level (until effects of anesthesia have passed)

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10
Q

Should the pt perform deep breathing exercises after a Cholecystectomy?

A

Yes–hourly!

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11
Q

When can the pt have food and water after a Cholecystectomy?

A

when fully awake/after anesthesia has worn off

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12
Q

How can aspiration be prevented?

A

HOB elevated

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13
Q

What is the teaching for steri strips?

A

will fall off naturally in about one week to ten days

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14
Q

What can be used for incisional pain?

A

ice and oral opioids

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15
Q

When would heat be used?

A

Thoracic/abdominal discomfort due to carbon dioxide retention

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16
Q

When can pt bathe/shower?

A

Day after surgery

17
Q

how should high fat foods be introduced?

A

one at a time to see what can be tolerated the best

18
Q

With the open method, how long will pt be NPO?

A

until peristalsis returns

19
Q

In the obese method, how is nutrition advanced?

A
  • clear to solid
  • low fat diet at first (esp. of pt nauseous
  • avoid excess fatty foods
  • of obese, recommend weight reduction
20
Q

What signs does pt need to report to MD?

A

-repeated abdominal/epigastric pain
-vomiting
diarrhea
**several days to months (indicate PCS)

21
Q

T o F: in an open cholecystectomy, the pt will have a surgical drain?

A

T

*removed within 24 hours

BSN LAST TEST-Pt 2 (22 decks)

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