NSG 3800/3850 Exam 4 – Questions With
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Jaundice, the green-yellow staining of tissues by bilirubin, is the consequence of
impaired bilirubin metabolism and is one of the most characteristic signs of liver
disease.
Choose an answer
1 Cholecystitis s/s 2 s/s of hepatic (liver) dysfunction
3 Cholecystitis ERCP (diagnosis) 4 Jaundice patho
Don't know?
Terms in this set (120)
Cholecystitis s/s Pain
Tenderness
Rigidity/RUQ abdomen that may radiate to
midsternal area or right shoulder/back
,Cholecystitis patho/etiology Persistent irritation to gallbladder wall from
cholelithiasis (stones)
Diabetes & obesity contribute
Untreated can lead to increased risk of cancer &
sepsis
Calculous cholecystitis vs Acalculous calculous has stones
cholecystitis
acalculous has no stones
Acalculous theory Speculation/theory cause is alterations in fluids &
electrolytes; alterations in regional blood flow in
visceral circulation
Bile stasis & increased viscosity of bile are also
thought to play a role
Occurs after major surgical procedures (makes
diagnosis difficult at times)
Severe trauma
Burns
Other associated factors
Torsion
TPN
Cystic duct obstruction
Primary bacterial infections of gallbladder
Multiple blood transfusions
, Cholecystitis ERCP (diagnosis) Endoscopic retrograde cholangiopancreatography
Allows direct visualization of structures
Examines hepatobiliary system via side-viewing
fiberoptic endoscope
Multiple position changes required during the
procedure to pass endoscope.
Patient in left semi-prone position
Preparation & Procedure
NPO 6-8 hours prior to procedure
Moderate sedation
Need someone to drive them home
observe for s/s of perforation or infection s/p
procedure
No ice chips until gag reflex is back
Cholelithiasis s/s RUQ pain
Jaundice
Dark colored urine
Grey/clay looking stool
biliary colic after eating heavy meal
Vit A,D,E, & K deficiency
Cholelithiasis nutrition considerations AVOID
eggs
cream
pork
fried food
cheese
rich dressings
gas-forming veggies (broccoli)
ETOH
Cholelithiasis medication Ursodeoxycholic acid (inhibits synthesis and
secretion of cholesterol, thereby desaturating bile)
Complete Solutions
Save
Practice questions for this set
Learn 1 /7 Study using Learn
Jaundice, the green-yellow staining of tissues by bilirubin, is the consequence of
impaired bilirubin metabolism and is one of the most characteristic signs of liver
disease.
Choose an answer
1 Cholecystitis s/s 2 s/s of hepatic (liver) dysfunction
3 Cholecystitis ERCP (diagnosis) 4 Jaundice patho
Don't know?
Terms in this set (120)
Cholecystitis s/s Pain
Tenderness
Rigidity/RUQ abdomen that may radiate to
midsternal area or right shoulder/back
,Cholecystitis patho/etiology Persistent irritation to gallbladder wall from
cholelithiasis (stones)
Diabetes & obesity contribute
Untreated can lead to increased risk of cancer &
sepsis
Calculous cholecystitis vs Acalculous calculous has stones
cholecystitis
acalculous has no stones
Acalculous theory Speculation/theory cause is alterations in fluids &
electrolytes; alterations in regional blood flow in
visceral circulation
Bile stasis & increased viscosity of bile are also
thought to play a role
Occurs after major surgical procedures (makes
diagnosis difficult at times)
Severe trauma
Burns
Other associated factors
Torsion
TPN
Cystic duct obstruction
Primary bacterial infections of gallbladder
Multiple blood transfusions
, Cholecystitis ERCP (diagnosis) Endoscopic retrograde cholangiopancreatography
Allows direct visualization of structures
Examines hepatobiliary system via side-viewing
fiberoptic endoscope
Multiple position changes required during the
procedure to pass endoscope.
Patient in left semi-prone position
Preparation & Procedure
NPO 6-8 hours prior to procedure
Moderate sedation
Need someone to drive them home
observe for s/s of perforation or infection s/p
procedure
No ice chips until gag reflex is back
Cholelithiasis s/s RUQ pain
Jaundice
Dark colored urine
Grey/clay looking stool
biliary colic after eating heavy meal
Vit A,D,E, & K deficiency
Cholelithiasis nutrition considerations AVOID
eggs
cream
pork
fried food
cheese
rich dressings
gas-forming veggies (broccoli)
ETOH
Cholelithiasis medication Ursodeoxycholic acid (inhibits synthesis and
secretion of cholesterol, thereby desaturating bile)
