Term
| Who gets Gall bladder disease? |
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Definition
| The 4 F's:Forty,Female,Fat,Fertile |
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Term
| What is Gallbladder disease patho? |
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Definition
Cholelithiasis
-Cholesterol stones
-Pigmented stones
Cholecystitis |
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Term
| What are some health history questions you would ask for Gallbladder disease? |
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Definition
-What are your food preferences?
-Do you have any GI symptoms occur after eating fatty foods?
-Belching?
-Abdominal pain? Precipitating
Quality
Region(where)
Severity
Time(how long, when) |
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Term
| What tests are done to diagnose gallbladder disease? |
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Definition
Ultrasound(75%accurate,less expensive)
Gallbladder scan(HIDA scan)
Cholangiogram |
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Term
| What would you want to check and have done before doing a HIDA scan? |
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Definition
| Check if patient has any allergies because you have a dye that will be administered and you want the consent form signed |
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Term
| What is a Cholangiogram doing? |
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Definition
| Its an xray of the bile ducts and the patient is also given dye for this procedure |
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Term
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Definition
| Endoscopic Retrograde Cholangio Pancreatograpgy |
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Term
| What are some things to know and assess for a ERCP? |
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Definition
-NPO 8 hrs
-Concious sedation
-Assess gag reflex and abdominal pain post procedure |
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Term
| What are some facts about Acute Cholecystitis? |
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Definition
-Sudden onset
-Sever steady pain
-Almost always begins without infection, but may lead to infection
-95% will have gallstones
-Acalculous Cholecytitis
Inflammation:whi will have GB fill with fluid and the walls will get thicker |
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Term
| When can you get Acalculous Cholecystitis? |
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Definition
-after major sugery
-Long time IV feeding
-Burns
-Septic
-Immune issues
-Young kids d/t other viral infections |
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Term
| What are some s/s of Chronic Cholecytitis? |
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Definition
Jaundice
Clay colored stools
dark urine
results from gallstones
Gallbladder damage
Steatorrhea(fat in stool)
Insidious Symptoms(which develop slowly) |
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Term
| What are some s/s of gallbladder disease after eating a fatty meal? |
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Definition
RUQ pain radiating to back, right shoulder
INdigestion
N/V
UNcommonly, jaundice and clay colored feces |
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Term
| What are some non surgical treatments? |
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Definition
Hospitalization
Npo(let stomach rest
IVF'sNG
Antibiotics
Pain Meds-Morphine Sulfate-Dilaudid
Antiemetics-Zofran |
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Term
| What do you use to drain the bile out of the gallbladder? |
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Definition
| Percutaneous Transhepatic Billiary Catheter |
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Term
| What is another nonsurgical way to treat gallbladder disease? |
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Definition
| ESWL( Extracorporeal Shock Wave Lithtripsy) and pt may feel some pain |
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Term
| What is a surgical treatment of gallbladder disease? |
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Definition
| Laparoscopic Cholcystectomy |
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Term
| What are some complications of a lap chole? |
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Definition
Resp. depression
Post op bleeding
wound infection |
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Term
| what kind of cholecystectomy is rarly used today and may be used sometimes in the 3rd trimestr of pregnancy? |
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Definition
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Term
| What is a Choledochostomy? |
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Definition
| Its a incision in the common bile duct to remove stones and a T tube is inserted into the common bile duct |
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Term
When is the T tube usually removed?
Where do you want to keep it?
What can happen if bile backs up? |
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Definition
<4hrs after surgery
Keep it below the waist
Infection |
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Term
| What are some post-op implications? |
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Definition
-Freq. VS(including O2)
-Pain assessment
-TCDB
-Encourage fluids
-Monitor N/V
-T-tube
-JP drain
HOB elevated
Early ambulation(toget rid of CO2)
-Surgical site assessment
-May be on A PCA
-No food until fully awake and gag reflex is back |
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Term
| What are some discharge instructions? |
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Definition
-persistant fever over 101 degrees F
-Bleeding
-increasing abdominal swelling
-Persistant cough or SOB
-Purulent drainage
-Pain that is not relieved by meds
-Persistant N/V
-Chills
-Redness that is surrounding incisions that is worsening or getting bigger
-Do NOT pull off steri strips let come off by themselves
-Can begin to eat after 1 week
-R shouldre pain may still be present still get up and walk
-may go back to wor 3-4 days(Lap Chole)
Couple weeks(Open Chole) |
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Term
| What does Naproxen(Naprosyn) cause? |
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Definition
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Term
| Which race has a higher incidence of gallbladder disease because of a problem with ETOH? |
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Definition
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Term
| What would require immediate intervention post esophagectomy? |
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Definition
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Term
| What is the greates risk for developing in the treatment of cancer? |
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Definition
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Term
| If the pt has bad oral hygein how often would you iniate oral care? |
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Definition
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