NSG 210 Test 3 Study Guide

May be present along w tachycardia cyanosis cold

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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...
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