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Med-Srug Nursing Chapter 62
Care of Patients with Problems of the Biliary System and Pancreas
34
Nursing
Undergraduate 1
10/14/2013

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Term
Obstruction
Definition
Blockage in the biliary system from gallstones, edema, stricture, or tumors that causes inflammation
Term
Cholecystitis
Definition
Inflammation of the gallbladder
Term
Calculous Cholecystitis
Definition
Chemical irritation and inflammation result from gallstones that obstruct the cystic duct, gallbladder neck, or common bile duct
Term
Cholelithiasis
Definition
Gallstones
Term
Peritonitis
Definition
Infection of the peritoneum that may result from a large perforation of the gallbladder wall.
Term
Acalculous Cholecystitis
Definition
Inflammation occurring without gallstones typically associated with biliary stasis caused by any condition that affects the regular filling or emptying of the gallbladder
Term
Icterus
Definition
Yellow Discoloration of the sclerae
Term
Obstructive Jaundice
Definition
Obstructed bile flow caused bu edema of the ducts or gallstones
Term
Prutitus
Definition
Itching caused bu an accumulation of bile salts
Term
Flatulence
Definition
Gas
Term
Dyspepsia
Definition
Indigestion
Term
Eructation
Definition
Belching
Term
Biliary Colic
Definition
Produced by obstruction of the cystic duct of the gallbladder or movement of one or more stones which causes severe pain
Term
Postcholecystectomy Syndrome
Definition
Abdominal or epigastric pain and vomiting that may occur several weeks to months after surgery
Term
Acute Pancreatitis
Definition
Serious, life threatening inflammatory process of the pancreas caused by a premature activation of excessive pancreatic enzymes that destroy ductal tissue and pancreatic cells, resulting in autodigestion and fibrosis of the pancreas
Term
Necrotizing hemorrhagic pancreatitis (NHP)
Definition
Diffusely bleeding pancreatic tissue with fibrosis and tissue death
Term
Boring
Definition
Pain felt with pancreatitis. Intense sensation that something is going through the body that is worsened by lying in the supine position.
Term
Sphincterotomy
Definition
Opening of the sphincter of Oddi which may be reformed if pancreatitis was caused by gallstones. Performed with and ERCP.
Term
Chronic Pancreatitis
Definition
Progressive, destructive disease of the pancreas that has remissions and exacerbations
Term
Chronic Calcifying Pancreatitis (CCP)
Definition
Most common type of chronic pancreatitis, most commonly caused by alcoholism
Term
Chronic Obstructive Pancreatitis
Definition
Develops from inflammation, spasm, and obstruction of the sphincter of Oddi often from gallstones
Term
Autoimmune Pancreatitis
Definition
Chronic inflammatory process in which immunoglobulins invade the pancreas
Term
Idiopathic and Hereditary Chronic Pancreatitis
Definition
May be associated with SPINK1 and CFTR gene mutation
Term
Steatorrhea
Definition
Foul smelling fatty stools that may increase in volume as pancreatic insufficiency progresses and lipase production decreases
Term
Pancreatic Abscesses
Definition
Most serious complication of acute necrotizing pancreatitis. Are always fatal if untreated.
Term
Pancreatic pseudocysts
Definition
False cysts, that do not have an epithelial lining.
Term
Hepatomegaly
Definition
Enlargement of the liver
Term
Ascites
Definition
Abdominal fluid
Term
Biliary Stents
Definition
Placed percutaneously to relieve pain from biliary obstruction
Term
Jejunostomy
Definition
Inserting a catheter into the jejunum so that the enteral feedings may be given
Term
Whipple procedue (radical pancreaticoduodenectomy)
Definition
Involved extensive surgical manipulation and is used most often to treat cancer of the head and pancreas. Involves removal of the proximal head of the pancreas, the duodenum, a portion of the jejunum, the stomach, gallbladder, pancreatic duct, the common bile duct, and the stomach.
Term
Splenectomy
Definition
Removal of the spleen
Term
Peritonitis
Definition
Inflammation and infection of the peritoneaum causing boardlike abdominal rigidity
Term
Gastrectomy
Definition
Removal of the stomach
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