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Cholelithiasis Concept Map

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MaryGrace C Andres
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26 views

Cholelithiasis Concept Map

Uploaded by

MaryGrace C Andres
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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MODIFIABLE FACTORS Decreased acid bile

NON-MODIFIABLE FACTORS NUTRITION


Pathophysiology
AGE synthesis
DIET
FEMALE GENDER OBESITY
ETHNICITY PHYSICAL ACTIVITY
GENETIC FACTORS
Increased
RAPID WEIGHT LOSS
2 TYPES OF GALL STONES cholesterol
COMMORBIDITIES

Predominantly Increase bilirubin


Symptoms Cholesterol
• Sudden pain in the RU of pigment
part of the abdomen
• Fever Bile becomes concentrated
• Nausea and vomiting CHOLELITHIASIS
• Back Pain in between the
shoulder blade Stone formation in the gall
• Pain in R shoulder
bladder

Diagnostics
Nursing Diagnosis
• Cholecystogram, cholangiogram • Acute pain and discomfort related to
• Celiac axis arteriography surgical incision
Clinical Manifestations
• Laparoscopy • Impaired gas exchange related to the
PAIN • Ultrasonography high abdominal surgical incision
JAUNDICE • Helical computed tomography (CT • Impaired skin integrity related to
CHANGES IN URINE & altered biliary drainage after surgical
STOOL COLOR
scans) and magnetic resonance
imaging (MRI) intervention
Vit. D DEFICIENCY
• Imbalanced nutrition, less than body
• Cholesterol Levels
requirements, related to inadequate
bile secretion

Medical Managements
Nutritional and Supportive Nursing Interventions
Therapy
Pharmacologic Therapy • Relieving Pain
Non Surgical Removal of • Improve Respiratory Status
Gallstones • Maintaining Skin Integrity and Promoting Biliary
Surgical Management drainage
(Cholecystectomy) • Monitoring and Managing Potential Complications
• Promoting Home and Community based Care

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