NURS 3014 Lecture Notes - Lecture 11: Cystic Duct, Enterohepatic Circulation, Scapula
25 May 2017
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Document Summary
Increased incidence with age, obesity, dm, chron"s, cirrhosis, and pregnancy: ethnicity (e. g. , aboriginal, women 2-3x more likely than men, women > 40 years, multiparous, obese and/or on ocp, familial tendency. Insoluble in water; solubility depends on bile acids and lecithin in bile. Diagnostics: some diagnostic tests include, blood tests, liver markers, increase in markers of biliary stasis (lactate dehydrinase, serum alkalade phosphate, dgt, dgtp) which indicate common bile duct is obstructed. Input and output: medications, udca (urodeoxylcholic acid) & cdca (chenodeoxycholic acid, used to dissolve small, radiolucent composed primarily of cholesterol, udca - has fewer side effects than cdca and can be administered in smaller doses. Acts by inhibiting synthesis and secretion of cholesterol, thereby reducing saturation of bile. Nursing diagnosis: deficient knowledge (pre/post operative, acute pain (pre/post operative, risk for imbalanced fluid volume: deficit, risk for injury. Acute and chronic cholecystitis: inflammation of the gallbladder wall, incidence is increasing and associated wit, being overweight, sedentary lifestyle.
