Upgrade to remove ads
Only $35.99/year

Biliary Disorders

Terms in this set (45)

Obstruction & Inflammation
What is the most common cause of gallbladder problems?
Cholelithisasis
Gallstone Formation
Cholesterol & Pigment Stones
What are the types of gallstones?
75; Bile; Supersaturated
Cholesterol stones (make up ___% of cases) form in ____ that is ____ with cholesterol
-Theories: enzyme defect increases cholesterol synthesis; Or decreased secretion of bile acids to emulsify fats
Precipitation; Unconjugated
Pigment stones (make ___% of cases) form from ____ of ____ bile
-These can't be dissolved, they have to be surgically removed
Cholescystitis
Inflammation or infection of the biliary system caused by calculi
Obesity
Women (especially those who've had multiple pregnancies)
Native American Women(or U.S southwestern Hispanic ethnicity)
Frequent Changes in weight
Rapid Weight Loss (Leads to rapid development of gallstones & high risk of symptomatic disease)
Treatment with high-dose estrogen (like in prostate cancer)
Low-dose estrogen therapy (carries small increase in the risk of gallstones)
Ileal resection or disease
Cycstic Fibrosis
Diabetes
Cholecystitis Risk Factors
Minimal; Right abd; Back; Right Shoulder; N/V; Fried/Fatty
Cholelithisasis Symptoms:
-None or ___ symptoms, acute or chronic
-Pain: in the upper ___ ___, radiating to ___ and ____
-Biliary colic: associated with ___/___. It's noticeable several hours after heavy meals that include ___/___ foods
Bile Duct; Urine; Stool; Kidney; Clay/Putty
Cholelithiasis Symptoms:
-Jaundice: due to ___ ___ obstruction; it can't go the duodenum
-Changes in ___ or ___ (b/c of bile pigments being excreted out by _____)
-What color will the stool be?
Fat; K A D E
Cholelithiasis Symptoms:
-Vitamin Deficiency of ___ soluble vitamins b/c of obstruction of bile duct
-List examples of the vitamins
MRI
Cholecystogram (Cholangiogram)
Celiac Axis Arteriography
Laparoscopy
US
Helical CT/MRI
ERCP (Endoscopic Retrograde Cholangiopancreatography)
Endoscopic US
Serum Alkaline Phosphate
Gamma-glutamyl
Gamma-glutamyl transpeptidase
Lactate Dehydrogenase
Cholesterol Levels
What diagnostic tests are used to diagnosis Biliary tract and Pancreatic Diseases
False
Is the following true or false?
-Cholecystitis is when a patient has calculi in the gallbladder
NPO; Sedation; Respiratory Distress; CNS; Hypotension
Perforation; Gag/Cough
Nursing Implications for an ERCP:
-Educate the patient about the procedure, ___, moderate ____, monitor for ___ ___, ___ depression, ____, over sedation, and vomiting
-Post procedure: monitor for signs of ____ and the return of the ___ & __ reflex
Low-fat
Cooked Fruits
Rice
Tapioca
Lean meats
Dietary Management of Cholelithiasis include
Eggs
Cheese
Pork
Fried/Fatty foods
What foods do you want to avoid in Cholelithiasis patiets?
Sets with similar terms