-Cheese Show
-Cheese -Withholding all oral intake, as ordered, to decrease pancreatic secretions -Self-digestion of the pancreas by its own proteolytic enzymes -Withholding all oral intake, as ordered, to decrease pancreatic secretions A client recovers from an episode of gallbladder inflammation and the client's diet is advanced from a low-fat liquid diet. Which meals will the nurse recommend to the client? (Select all that apply.) A) Egg salad sandwich with low fat mayonnaise and a side salad with ranch dressing. Cholelithiasis, stones or calculi (gallstones) in the gallbladder, results from changes in the bile components.
What is Choledocholithiasis?Diseases of the gallbladder and the biliary tract are common, and in most cases, painful conditions frequently require surgery and may be life-threatening.
PathophysiologyAbnormal metabolism of cholesterol and bile salts plays an important role in gallstone formation.
Statistics and IncidencesCholedocholithiasis is becoming a common phenomenon worldwide.
CausesGallstones arise during periods of the following:
Clinical ManifestationsCholedocholithiasis may produce symptoms of a classic gallbladder attack.
ComplicationsCholedocholithiasis may lead to the following complications:
Assessment and Diagnostic FindingsTests to detect gallstones include:
Medical ManagementManagement of a patient with choledocholithiasis include:
Pharmacologic TherapyMedications prescribed may include:
Surgical ManagementSurgery, usually elective, is the treatment of choice for gallbladder and bile duct diseases.
Nursing ManagementThe patient who is to undergo surgical treatment of gallstones is often admitted to the hospital or same day surgery unit on the morning of surgery. Nursing AssessmentAssessment should focus on the respiratory status.
Nursing DiagnosisBased on all the assessment data, the major nursing diagnoses for the patient who has choledocholithiasis and has undergone surgery may include the following:
Nursing Care Planning & GoalsMain Article: 4 Cholecystitis and Cholelithiasis Nursing Care Plans The goals for the patient include:
Nursing InterventionsPatient care for gallbladder and bile duct diseases focuses on supportive care and close postoperative observation.
EvaluationThe expected patient outcomes include:
Discharge and Home Care GuidelinesThe nurse should promote home and community-based care.
Documentation GuidelinesThe focus of documentation include:
Practice Quiz: CholedocholithiasisHere’s a 5-item quiz about the study guide. Please visit our nursing test bank page for more NCLEX practice questions. 1. A patient with calculi in the gallbladder is said to have: A. Cholecystitis. 1. Answer: B. Cholelithiasis.
2. Statistics show that there is a greater incidence of gallbladder disease for women who are: A. Multiparous. 2. Answer: D. Characterized by all of the above.
3. Clinical manifestations of common bile duct obstruction include all of the following except: A. Amber-colored urine. 3. Answer: A. Amber-colored urine.
4. The diagnostic procedure of choice for choledocholithiasis is: A. Xray. 4. Answer: D. Ultrasonography.
5. Pharmacologic therapy is frequently used to dissolve small gallstones. It takes about how many months of medication with UDCA for stones to dissolve? A. 1 to 2 months. 5. Answer: D. 6 to 12 months.
See AlsoRelated posts:
[sc name=”Affiliate_MedicalSurgical”] What are the symptoms of a blocked bile duct?Symptoms may include:. Abdominal pain in the upper right side.. Dark urine.. Fever.. Itching.. Jaundice (yellow skin color). Nausea and vomiting.. Pale-colored stools.. What is the most common cause of biliary obstruction?Gallstones are the most prevalent cause of biliary obstruction; they commonly manifest by dilatating the common bile duct and jaundice.
Which complication should be suspected in a client who has an obstruction of the common bile duct?If the blockage occurs between the gallbladder and the common bile duct, a person is at risk of cholecystitis. This is an inflammation of the gallbladder that can lead to a severe infection or the rupturing of the gallbladder.
How is bile duct obstruction diagnosed?Diagnosis of Biliary Obstruction
If your blood test results suggest biliary obstruction, your doctor may confirm the diagnosis using: Ultrasound. Computed tomography. Magnetic resonance cholangiopancreatography.
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