NSG 210 Test 3 Study Guide

May be present along w tachycardia cyanosis cold

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: e Affected women are usually older than 40, obese, have had multiple pregnancies and are on oral contraceptives Pregnant women have a higher risk  ­Ethnicity/Race American Indians & Caucasians are at higher risk than other groups  ­Co ­morbidities that increase risk of gallbladder disease include: Diabetes Mellitus Obesity and/or rapid weight loss/frequent changes in weight Cystic fibrosis Ileal resection or disease High cholesterol levels S/S of acute cholecystitis & cholelithiasis  ­Pain/tenderness in the RUQ or epigastric region, at first intermittent & later constant  ­Referred pain in right scapula & back  ­Pain may present after eating a meal rich in fried or fatty foods  ­Diarrhea, N/V  ­Gallbladder becomes distended & pt may have a palpable abdominal mass  ­In later stages, a high fever, jaundice, dark frothy urine, clay ­colored stool & fat ­soluble vitamin deficiencies may occur Ax: includes physical ax & hx of pt  ­Ask client about diet: how often/what do they eat? Is their diet high in fat? Is pt obese? When does the pain occur? Is it before/after meals?  ­Ask pt about lifestyle: what is their occupation? Do they exercise? Do they live a sedentary lifestyle?  ­Ask client about pain & s/s Carlton’s Notes on dx of cholecystitis (not specifically in book)  ­Differential diagnosis: used to rule other other GI d/o like peptic ulcers, pancreatitis, etc. b/c there’s so many similar s/s  ­Lab tests would show: Inflammation: an increase in WBC count Abnormalities in liver function: an increase in alkaline phosphatase, AST, LDH, direct & indirect bilirubin If pancreas involvement: an increase in seru...
View Full Document

Ask a homework question - tutors are online