CCII - Exam #3
The bodies protective response to injury
Inflammation
allergens or infections
Inflammation with infection eliminates
Pathogens
what?
Inflammation with injury allows for? Tissue Repair
-Gallbladder disease
What is an example(s) for inflammation -Pancreatitis
with injury that allows for tissue repair? -Diverticulitis
-Peritonitis (AKA Hot Belly)
Tiny pear shaped hollow sac like organ,
that is located in a pocket under the liver Gallbladder
and connected to the common bile duct?
This organs primary role is to store bile? Gallbladder
This substance helps the digestive sys-
tem break down fats and is a mixture of Bile
cholesterol, bilirubin, and salts?
Increased bilirubin levels indicate? Gallstones or other gallbladder problems
What kind of of electrolytes is bile com-
Sodium, K+, Ca+, CI, Bi carb
posed of along with water?
What is the recommended diet for some-
Low fat
one that has gallbladder disease?
Hardened balls of digestive fluid that are
Gallstones/Cholelithiasis
formed in gallbladder?
What are the two kinds of gallstones? Cholesterol and Pigment
What are cholesterol stones caused by? Too much cholesterol
What are pigment stones caused by? Too much bilirubin
Fat
Fertile
Female
Forty
Cirrhosis hemolysis
Cystic Fibrosis
Infection of biliary tract
, CCII - Exam #3
Diabetes
Fluctuating Weight
Ileum resection/disease
Estrogen therapy
What are risk factors for cholelithiasis? Obesity
Multi parity
Native American
Hispanic
U.S. southwestern
-Decreasing body weight
-High fiber diet
What are treatments for cholelithiasis?
-Must be surgically removed
-Avoid Morphine
Why should you avoid morphine when Makes pain worse due to increased bil-
treating cholelithiasis? iary colic
-Pain and biliary colic
-RUQ pain that radiates to back and
shoulder
What are some clinical manifestations -Jaundice
for cholelithiasis? -Dark urine
-Stool greyish or clay colored
-Steatorrhea
-Vitamin deficiency
Obstruction of CBD
What causes jaundice when someone Fever
has cholelithiasis? Abdominal Mass
Bile is absorbed by blood
Fatty poop Steatorrhea
What vitamins do not get absorbed when
Vitamin D/A/E/K
you get cholelithiasis?
Inflammation of gallbladder can be acute
Cholecysitis
or chronic
What is Calculous Cholecystitis? Stones obstructs bile flow
Acute without the presence of gallstones
What is acalculous cholecystitis? and can occur after major surgical proce-
dure due to dysfunction of gallbladder
, CCII - Exam #3
-Pain RUQ radiates to midsternal right
shoulder
What are clinical manifestations of chole- -Rigidity of RUQ
cysitis? -Tenderness
-N/V
-Empyema
What is Empyema? Gallbladder filled with purulent fluid
ERCP
What are diagnostics to use view the
Abdominal xray
gallbladder?
Abdominal ultrasound
What is an ERCP used for and is it inva-
Direct visual of gallbladder and yes
sive?
What is an ERCP a major risk of? Perforation and infection
Why must a patient be NPO for a ERCP? This will decrease bile secretion
-Check vitals: especially respiratory
What should you check post op after an
-Perforation/infection
ERCP is performed?
-Gag reflex
What is can an ERCP be used for? To remove gallstones from bile duct
-Liver dysfunction
What is an abdominal ultrasound use to
-Stones in gallbladder
view?
-Determines if duct is dilated
-IV fluids
What are nutritional and supportive ther-
-NG suction
apy used for gallbladder conditions?
-Low fat diet
-Eggs
-Cream
-Pork
What foods should you avoid on a low fat -Fried foods
diet? -Cheese
-Rich dressings
-Gas forming veggies
-Alcohol
What are pharmacologic therapy used
for cholelithiasis?
The bodies protective response to injury
Inflammation
allergens or infections
Inflammation with infection eliminates
Pathogens
what?
Inflammation with injury allows for? Tissue Repair
-Gallbladder disease
What is an example(s) for inflammation -Pancreatitis
with injury that allows for tissue repair? -Diverticulitis
-Peritonitis (AKA Hot Belly)
Tiny pear shaped hollow sac like organ,
that is located in a pocket under the liver Gallbladder
and connected to the common bile duct?
This organs primary role is to store bile? Gallbladder
This substance helps the digestive sys-
tem break down fats and is a mixture of Bile
cholesterol, bilirubin, and salts?
Increased bilirubin levels indicate? Gallstones or other gallbladder problems
What kind of of electrolytes is bile com-
Sodium, K+, Ca+, CI, Bi carb
posed of along with water?
What is the recommended diet for some-
Low fat
one that has gallbladder disease?
Hardened balls of digestive fluid that are
Gallstones/Cholelithiasis
formed in gallbladder?
What are the two kinds of gallstones? Cholesterol and Pigment
What are cholesterol stones caused by? Too much cholesterol
What are pigment stones caused by? Too much bilirubin
Fat
Fertile
Female
Forty
Cirrhosis hemolysis
Cystic Fibrosis
Infection of biliary tract
, CCII - Exam #3
Diabetes
Fluctuating Weight
Ileum resection/disease
Estrogen therapy
What are risk factors for cholelithiasis? Obesity
Multi parity
Native American
Hispanic
U.S. southwestern
-Decreasing body weight
-High fiber diet
What are treatments for cholelithiasis?
-Must be surgically removed
-Avoid Morphine
Why should you avoid morphine when Makes pain worse due to increased bil-
treating cholelithiasis? iary colic
-Pain and biliary colic
-RUQ pain that radiates to back and
shoulder
What are some clinical manifestations -Jaundice
for cholelithiasis? -Dark urine
-Stool greyish or clay colored
-Steatorrhea
-Vitamin deficiency
Obstruction of CBD
What causes jaundice when someone Fever
has cholelithiasis? Abdominal Mass
Bile is absorbed by blood
Fatty poop Steatorrhea
What vitamins do not get absorbed when
Vitamin D/A/E/K
you get cholelithiasis?
Inflammation of gallbladder can be acute
Cholecysitis
or chronic
What is Calculous Cholecystitis? Stones obstructs bile flow
Acute without the presence of gallstones
What is acalculous cholecystitis? and can occur after major surgical proce-
dure due to dysfunction of gallbladder
, CCII - Exam #3
-Pain RUQ radiates to midsternal right
shoulder
What are clinical manifestations of chole- -Rigidity of RUQ
cysitis? -Tenderness
-N/V
-Empyema
What is Empyema? Gallbladder filled with purulent fluid
ERCP
What are diagnostics to use view the
Abdominal xray
gallbladder?
Abdominal ultrasound
What is an ERCP used for and is it inva-
Direct visual of gallbladder and yes
sive?
What is an ERCP a major risk of? Perforation and infection
Why must a patient be NPO for a ERCP? This will decrease bile secretion
-Check vitals: especially respiratory
What should you check post op after an
-Perforation/infection
ERCP is performed?
-Gag reflex
What is can an ERCP be used for? To remove gallstones from bile duct
-Liver dysfunction
What is an abdominal ultrasound use to
-Stones in gallbladder
view?
-Determines if duct is dilated
-IV fluids
What are nutritional and supportive ther-
-NG suction
apy used for gallbladder conditions?
-Low fat diet
-Eggs
-Cream
-Pork
What foods should you avoid on a low fat -Fried foods
diet? -Cheese
-Rich dressings
-Gas forming veggies
-Alcohol
What are pharmacologic therapy used
for cholelithiasis?
