Cholecystitis Flashcards
Cholecystitis
Description
acute or chronic inflammation of the gallbladder
acute ==> cholelithiasis =gallstones
chronic ==> when inefficient bile emptying and gallbladder muscle wall disease cause fibroids and contracted gallbladder
Acalculous Cholecystitis
absence of gallstones caused by bacterial invasion via lymphatic or vascular system
Cholecystitis
assessment
N and V
indigestion and epigastric pain from right shoulder
belching and flatulence
RUQ pain caused by high fat or high volume meal; mass palpated in RUQ
guarding rebound tenderness
Murphy sign
elevated temp
TC
dehydration
Murphy’s Sign
cannot take a deep breath when examiners fingers are passed below hepatic magin because of pain
Cholecystitis
as Billiary Obstruction (Choledolithiasis)
assessment
jaundice
dark orange and foamy orange
steatorrhea and and clay-covered
pruritis
Cholecystitis
interventions
NPO while N and V
have NG tube for decompression during severe vomiting
admin antiemetics
admin analgesics for pain and spasms
admin antispasmodics (anticholinergics) to relax smooth muscle
for chronic have a low fat diet and avoid gassy foods
prepare pt for (non)surgical options
Cholecystitis
surgical interventions
cholecystectomy
choledocholithotomy\
done using laproscopy
cholecystectomy
removal of the gallbladder
choledocholithotomy
incision of into the common bile duct to remove stone
Cholecystitis
postsurgical interventions
look for resp complications caused by incisional pain
encourange couching and deep breathing as well as early walking
teach about abdominal splinting to prevent discomfort while coughing
admin antiemetics and analgesics
NPO and NG tube
adv from clear liquids
monitor T-tube
