Gallbladder Flashcards
Cholelithiasis =
presence of gallstones
Cholecystitis =
inflammation of the gallbladder
Risk Factors for Cholelithiasis & Cholecystitis
Middle-aged females Fair skin Overweight High-fat diet Oral contraceptives
describe the pain in Cholelithiasis & Cholecystitis
Episodic/vague upper abdominal pain – radiates to right shoulder
Pain in Cholelithiasis & Cholecystitis is triggered by what
high-fat or high-volume meal
GI disturbances in Cholelithiasis & Cholecystitis
N/V/
dyspepsia
eructation
flatulence
What manifestation do we see mostly in chronic cholecystitis
Jaundice,
clay-colored stools,
dark urine,
steatorrhea
Can we see a fever in Cholelithiasis & Cholecystitis?
Yes, due to inflammation
Non Surgical collaborative care in Cholecystitis
Avoid fatty foods (NPO if major flare)
With biliary pain, opioids are indicated
Anti-emetics & antispasmodics
Rarely - extracorporeal shock wave lithotripsy (ESWL) or ERCP w/ sphincterotomy
Surgical care in Cholecystitis
Laparoscopic cholecystectomy
Open cholecystectomy w/ T-tube
post op care teaching for Lap chole
Remove bandages at puncture sites day after surgery; then may shower
When would patient want to notify HCP post Lap Chole
Notify HCP if:
Redness, swelling, purulent/bile-colored drainage from site
Severe abdominal pain, N/V, fever, chills
How do we want to resume activities post op lap chole
Gradually resume activities & return to work in 1 week
Can patient resume a usual diet post lap chole
Eventually can resume usual diet – but low-fat diet is usually better tolerated for several weeks after surgery
what is an open cholecystectomy
Incision made through right subcostal incision
