click below
click below
Normal Size Small Size show me how
Gallbladder Disease
Medical-Surgical Nursing
Question | Answer |
---|---|
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 |