NURS 4430 Chapter Notes - Chapter 50: Extracorporeal Shock Wave Lithotripsy, Biliary Colic, Common Bile Duct
Document Summary
Chapter 50 care of patients with problems of the biliary system and pancreas. Risk factors: obesity, women whom have had multiple pregnancies, frequent changes in weight, rapid weight loss, high-dose estrogen treatment, low-dose estrogen therapy, ileal resection/disease, cystic fibrosis, and diabetes. Choledocholithiasis -> stones in the common bile duct. Acute cholecystitis is the inflammation of the gallbladder. Calculous cholecystitis: a gallbladder stone obstructs bile outflow. Acalculous cholecystitis: inflammation occuring in the absence of gallstones, usually after major surgery, severe trauma, or burns. Repeated episodes of cystic duct obstruction result in chronic inflammation. (cid:373)u(cid:396)ph(cid:455)"s sig(cid:374) -> hypersensitivity to deep palpation in the subcostal region when a pt with gallbladder disease takes a deep breath. (cid:271)lu(cid:373)(cid:271)e(cid:396)g"s sig(cid:374) -> also referred to as rebound tenderness, refers to pain felt after pressure is removed vs when pressure is applied steatorrhea -> oily, smelly stool that usually floats. Nutrition therapy low-fat diet, fat-soluble vitamins, bile salts.
