arge bore IV for fluids to hydrate and maintain electrolytes many patients

Arge bore iv for fluids to hydrate and maintain

This preview shows page 22 - 24 out of 26 pages.

arge bore IV for fluids to hydrate and maintain electrolytes (many patients become dehydrated and have electrolyte imbalances from nausea and vomiting) B reathing in stopped by patient during palpation of gallbladder because it hurts “Murphy’s Sign” L abs: electrolytes, bilirubin (jaundice?), WBC, liver enzymes, pancreatic enzymes, renal function A ntibiotics for infection (IV) D rain care Cholecystostomy tube “C-tube”: this is different than a t-tube which is sometimes placed after the removal of the gallbladder and is placed in the bile duct. C-tubes are place through the abdominal wall and into the gallbladder. They are for patients who can’t have surgery immediately to remove the gallbladder, but the infected bile needs to be removed. It will drain infected fluid from the gallbladder. Things to remember: keep the collection bag at waist level to drain empty and record drainage Note color Monitor insertion site for infection Flush per MD order so it won’t get blocked and teach patient how to care for drain. D eterioration signs and symptoms? How to tell if treatment is not helping and the patient is getting worst? Mental status changes, increased heart rate, decreased blood pressure, high temperature, high WBC, change in stool consistency and color (steatorrhea, light colored, jaundice, dark urine…no bilirubin), increasing or worsening abdominal pain (RUQ) E RCP to remove the gallstones from the bile duct and assess areas of the gallbladder…an endoscope is inserted through the mouth and into the stomach to the small intestine and to the bile duct. R emoval of gallbladder “cholecystectomy” Since the gallbladder is removed bile will now drain from the liver via the bile duct into the duodenum. This procedure can be performed laparoscopically (most common) or open. Monitor for infection. Be aware that many patients who have the gallbladder removed laparoscopically will have shoulder pain from carbon dioxide (that was used during the procedure) not being reabsorbed by the body. Side lying with knees bent can help the pain along with heat application to the shoulders, or analgesics. Make sure the patient is ambulating soon after the procedure to prevent post-opt complications and coughing and deep breathing (splinting incision) remind the patient how to use the incentive spirometer. Pancreatitis Patho? Inflammation of the pancreas that can lead to digestion of the pancreas by its own enzymes and/or irreversible structural damage to the organ.
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Function of the Pancreas: Where is it located in the body? It is found in the upper abdomen behind the stomach and next to the duodenum. When inflammation of the pancreas occurs, the organs can’t deliver enzymes and hormones properly. The pancreas swells and leaks digestive enzymes.
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  • Spring '17
  • collins

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