CNUR 204 Lecture Notes - Lecture 1: Biliary Colic, Biliary Tract, Gallstone
11 Feb 2020
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Document Summary
The biliary tract: disorders of the biliary tract , cholelithiasis, cholecystitis. Includes the liver, gall bladder, and bile ducts: make, store, secrete bile. Formation of gall stones most common in biliary tract. Usually caused by stones being lodged in neck of biliary tract. Can affect mucous lining only or entire wall. Nursing management: r/f of female, radiating abd pain, obesity plays a role in both diseases, more profound in elderly. Similarities b/w cholelithiasis and cholecystitis: require sx intervention to correct, can result in immobility. Blood work (increase in bilirubin and liver enzymes) Replace fat soluble vitamins a, d, e, k, bile salts. Low fat diet when they can eat, avoid whole fat dairy products, fried foods, pastries, gravies, nuts (fat will make it 10x worse!) Extracorporeal shock wave lithotripsy (eswl) used to break up stones. Choledocholithotomy incision into bile duct and remove stones: obstructed bile flow can lead to , pancreatitis, biliary cirrhosis.
