Which intervention should be the priority of nursing management for a client hospitalized for acute cholecystitis?
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To diagnose cholecystis, your health care provider will likely do a physical exam and discuss your symptoms and medical history. Tests and procedures used to diagnose cholecystitis include: Show
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Treatment Close Endoscopic retrograde cholangiopancreatographyEndoscopic retrograde cholangiopancreatographyEndoscopic retrograde cholangiopancreatography (ERCP) uses a dye to highlight the bile ducts and pancreatic duct on X-ray images. A thin, flexible tube (endoscope) with a camera on the end is passed down your throat and into your small intestine. The dye enters the ducts through a small hollow tube (catheter) passed through the endoscope. Close Laparoscopic cholecystectomyLaparoscopic cholecystectomySpecial surgical tools and a tiny video camera are inserted through incisions in your abdomen during laparoscopic cholecystectomy. Your abdomen is inflated with carbon dioxide gas to allow room for the surgeon to work with surgical tools. Treatment for cholecystitis usually involves a hospital stay to control the inflammation in your gallbladder. Sometimes, surgery is needed. At the hospital, your health care provider will work to control your symptoms. Treatments may include:
Your symptoms are likely to decrease in 2 to 3 days. However, gallbladder inflammation often returns. Most people with cholecystitis eventually need surgery to remove the gallbladder. Gallbladder removal surgeryThe procedure to remove the gallbladder is called a cholecystectomy. Usually, this is a minimally invasive procedure, involving a few tiny cuts (incisions) in your abdomen (laparoscopic cholecystectomy). An open procedure, in which a long incision is made in your abdomen, is rarely required. The timing of surgery depends on the severity of your symptoms and your overall risk of problems during and after surgery. If you're at low surgical risk, surgery may be performed during your hospital stay. Once your gallbladder is removed, bile flows directly from your liver into your small intestine, rather than being stored in your gallbladder. Even without your gallbladder you can still digest food. Request an Appointment at Mayo Clinic There is a problem with information submitted for this request. Review/update the information highlighted below and resubmit the form. Subscribe for free and receive your in-depth guide to digestive health, plus the latest on health innovations and news. You can unsubscribe at any time. Email address ErrorEmail field is required ErrorInclude a valid email address Subscribe Learn more about Mayo Clinic’s use of data.To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Thank you for subscribingYour in-depth digestive health guide will be in your inbox shortly. You will also receive emails from Mayo Clinic on the latest health news, research, and care. If you don’t receive our email within 5 minutes, check your SPAM folder, then contact us at [email protected]. What are the nursing interventions for cholecystitis?Nursing Management. Intervene to relive pain; give prescribed analgesics.. Promote adequate rest.. Administer IV fluids, monitor intake and output.. Monitor nasogastric tube and suctioning.. Administer antibiotics if prescribed.. What is the most important event of acute cholecystitis?Acute cholecystitis is swelling (inflammation) of the gallbladder. It is a potentially serious condition that usually needs to be treated in hospital. The main symptom of acute cholecystitis is a sudden sharp pain in the upper right side of your tummy (abdomen) that spreads towards your right shoulder.
What are the management of cholecystitis?Treatment for cholecystitis usually involves a hospital stay to control the inflammation in your gallbladder. Sometimes, surgery is needed. At the hospital, your health care provider will work to control your symptoms.
What are safety considerations for cholecystitis?Perform frequent oral hygiene with alcohol-free mouthwash; apply lubricants. Decreases dryness of oral mucous membranes; reduces risk of oral bleeding. Use small-gauge needles for injections and apply firm pressure for longer than usual after venipuncture. Reduces trauma, risk of bleeding or hematoma formation.
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