NCLEX Review & Nursing School

CHOLECYSTITIS & CHOLELITHIASIS
– An acute or chronic inflammation of the gallbladder

Causes:
Cholesterol
Bile Pigment
Obesity

DIAGNOSTICS

• Gallbladder series
• Ultrasound
• Liver Scan
• Jaundice
• Steatorrhea

Medical Managment:

Diet= Low fat, high carbohydrate, high protien diet.

Make sure to hydrate the patient: IV Therapy if necessary.

Medications

• Meperidine (Demerol) = Analgesic
• Cephalotin (Keflin)- Antibiotic
• Prophantheline (Pro-Banthine)- Anticholinergic

Complications of Cholecystitis:

• Hemorrhage
• Peritonitis
• Pancreatitis
• Cirrhosis

Surgical Intervention

• Cholecystectomy
• Cholecystomy
• Laproscopic Laser Choloecytectomy