About
Inflammation of the gallbladder frequently caused by stones in the gall bladder or surrounding biliary tubes. May require surgical removal of the gall bladder ( cholecystectomy).
Assess
Nausea, vomiting, abdomen pain, increased pain after eating fatty meals, heartburn, fever, jaundice, clay colored stools
Complications
- Cholecystectomy- surgery to remove the gallbladder
- Cholecystectomy, peritonitis, biliary obstruction
Diagnosis
- Acute pain related to biliary obstruction or surgical intervention
- Risk for ineffective breathing related to surgical incision causing pain with increased lung expansion
- Ineffective therapeutic regimen related to deficient knowledge of disease treatment, prevention of exacerbation, and potential for surgical intervention
Goals
- The client will identify strategies to manage symptoms and prevent exacerbation.
- The client will describe a decrease in pain or discomfort.
Interventions
- Monitor for pain and discomfort.
- Monitor VS, bowel sounds, abdomen assessment.
- Administer medications ( analgesics, anticholinergics, etc.) as ordered.
- Teach client to avoid fatty and spicy foods.
- Teach client about medications including rationale, side effects, dosing schedule.
- Assist with preparation for procedures as indicated by physician.
- Monitor for signs/ symptoms of complications.
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