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Terms in this set (14)
What are the functions of the Gallbladder?
stores and concentrates the bile produced in the liver
aids in the digestion of fats.
Bile is released in response to food, especially fats, in the upper duodenum.
What occurs when the flow of bile is obstructed?
What do cholelithiasis or gallstones consist of?
of cholesterol and pigmented with bile
What is a sign that there is an obstruction of flow of bile?
inflammation of the pancreas, or pancreatitis
What are the risk factors of gallstones?
high cholesterol levels
estrogen containing meds
rapid wt loss
What are signs and symptoms that a patient may have gallstones?
pain in the right upper abdomen right shoulder- can last minutes to hours
sweating, nausea, vomiting
high liver function test
(possible) chest pain
Will the pt. with gallstones be deficient in fat or water soluble vitamins?
A D E & K
What treatment should the nurse expect a patient with gallstones to have?
endoscopic retrograde cholangiopancreatogrpahy (ERCP)
What are the treatments for a pt. with Cholecystitis - Inflammation of the gallbladder?
pain control, (morphine)
antibiotics for infection
IV fluid and electrolyte replacement.
If a newborn develops jaundice at 2-3 weeks of age, what should the nurse suspect?
Biliary Atresia - obstruction of the bile ducts caused by their failure to develop normally in the fetus.
can lead to damage and cirrhosis of the liver and if not treated, will be fatal
What symptoms will the nurse see in a baby with jaundice?
slow or absent wt gain
slow growth in a child 0-5 years old
pale or clay colored stools
foul smelling stools
The nurse will monitor which diagnostic test in a child with biliary atresia?
elevated bilirubin, an enlarged liver and/or spleen by abdominal ultrasound, HIDA scan (to determine bile flow), cholangiogram to determine patency of ducts, liver biopsy to determine degree of cirrhosis.
How should the nurse describe a Kasai procedure to parents of a new born with biliary atresia?
connects the liver to the small intestine, bypassing the malformed ducts
At what age should a child with biliary atresia have a Kasai procedure?
10-12 weeks of age
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