What are the contraindications to a laparoscopic

This preview shows page 21 - 22 out of 26 pages.

what are the contraindications to a laparoscopic cholecystectomy? peritonitis, cholangitis, gangrene or perforation of the gallbladder, portal HTN, and serious bleeding disorders 232. which procedure involves removal of the gallbladder through a right subcostal incision? an incisional (open) cholecystectomy 233. when is the transhepatic biliary catheter used? when endoscopic drainage has been unsuccessful 234. what may be used initially for pain management with gallbladder disease? morphine 235. if a patient has chronic gallbladder disease or any biliary tract obstruction, what may need to be given? fat-soluble vitamins (A,D,E,K) 236. what can be administered to facilitate digestion and vitamin absorption in patients with gallbladder disease? bile salts 237. what drug may provide relief from pruritus? cholestyramine
Image of page 21

Subscribe to view the full document.

238. cholestyramine is administered in powder form and can be mixed with? milk or juice 239. if obesity is a problem in a patient with gallbladder disease, what is indicated in regards to their diet? a reduced-calorie diet that is low in saturated fas and high in fiber and calcium 240. why should rapid weight loss be avoided in patients with gallbladder disease? because it can promote gallstone formation 241. if an incisional cholecystectomy is done, what will the patient's diet look like? the patient will progress from liquids to a regular diet once bowel sounds have returned 242. after a laparoscopic cholecystectomy, what does the patient's diet look like? instruct the patient to have liquids for the rest of the day and eat light meals for a few days 243. clay-colored stools, steatorrhea, flatulence and dark urine indicate? cholelithiasis or cholecystitis 244. what are some comfort measures for a patient with acute cholecystitis or cholelithiasis? a clean bed, comfortable positioning, and oral care 245. what are some signs that indicate obstruction of the ducts by stones? jaundice, clay-colored stools, dark foamy urine, steatorrhea, fever, and increased WBC 246. a temperature elevation with chills and jaundice may indicate? choledocholithiasis 247. obesity, multiparity, infection, cancer, extensive fasting, and pregnancy are all pieces of important past health information for which disease? gallbladder disease (cholelithiasis/cholecystitis) 248. estrogen and oral contraceptives can cause what disease? gallbladder disease 249. what ethnic groups is gallbladder disease more common in? native americans 250. what is going to be apart of the nursing care plan for patients experiencing severe nausea and vomiting related to gallbladder diseases? oral hygiene, care of nares, accurate I/O measures, and maintenance of suction should 251. what should you do if you need to give an injection to a patient with decreased PTT? use a small gauge needle and apply gentle pressure after injection 252. care of a patient after ERCP with papillotomy includes assessment to detect complications such as? pancreatitis, perforation, infection, and bleeding 253.
Image of page 22
You've reached the end of this preview.
  • Summer '18
  • NONE
  • Hepatology, Hepatitis C, chronic hepatitis

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern