Acute Calculous Cholecystitis Overview

The most common cause of acute cholecystitis is complete cystic duct obstruction due to impacted gallstones, accounting for about 90 percent of cases.

About 95 percent of patients with acute cholecystitis have gallstones.

Only about 20 percent of patients with asymptomatic gallstones will develop symptoms within 20 years.

<p>Laparoscopic cholecystectomy is considered the most appropriate management for symptomatic patients with cholecystitis.</p> Signup and view all the answers

<p>Significant risk factors include obesity, advanced age, and metabolic syndromes.</p> Signup and view all the answers

<p>Chronic conditions like hypertension complicate surgical interventions and recovery, necessitating a meticulous management plan.</p> Signup and view all the answers

<p>Classic symptoms of acute cholecystitis include severe right upper quadrant pain, fever, and leukocytosis.</p> Signup and view all the answers

<p>Individualized management plans are crucial for addressing the complexities of perioperative care in patients with pre-existing comorbidities like hypertension.</p> Signup and view all the answers

<p>Patient T was admitted to the hospital due to an ischemic stroke.</p> Signup and view all the answers

<p>Patient T had a laparoscopic cholecystectomy on October 10, 2024, due to acute calculous cholecystitis caused by gallstones.</p> Signup and view all the answers

<p>Her respiratory rate was 19 cycles per minute, which is within the normal range.</p> Signup and view all the answers

<p>She exhibited a productive cough with yellow sputum and had crackles in her lung sounds.</p> Signup and view all the answers

<p>Her oxygen saturation levels were measured at 96%, indicating adequate oxygenation.</p> Signup and view all the answers

<p>Patient T has a family history of hypertension and cardiovascular diseases, with relatives dying from heart attacks.</p> Signup and view all the answers

<p>She smoked 1 pack of cigarettes per day, totaling 7,300 cigarettes in 34 pack years since 1990.</p> Signup and view all the answers

<p>Salbutamol nebulization was administered as advised by the physician.</p> Signup and view all the answers

<p>Severe abdominal pain rated 10/10.</p> Signup and view all the answers

<p>Hypertension, angina, and a previous ischemic stroke.</p> Signup and view all the answers

<p>An abdominal ultrasound was performed, revealing gallstones in the gallbladder.</p> Signup and view all the answers

<p>140/70 mmHg, classified as controlled hypertension.</p> Signup and view all the answers

<p>A laparoscopic cholecystectomy; it was needed to address her acute calculous cholecystitis.</p> Signup and view all the answers

<p>Conducting a thorough and systematic assessment.</p> Signup and view all the answers

<p>Her respiratory support is set at 1 liter per minute via nasal cannula.</p> Signup and view all the answers

<p>Pain management, monitoring vital signs, and assessing neurological status.</p> Signup and view all the answers

<p>To identify any potential infections and assess the patient's overall stability.</p> Signup and view all the answers

<p>The abdominal pain had been worsening over two months, accompanied by intermittent vomiting.</p> Signup and view all the answers

<p>It helps manage significant right upper quadrant pain and evaluates the effectiveness of pain relief interventions.</p> Signup and view all the answers

<p>Acute pain related to inflammation, risk for infection, and impaired physical mobility.</p> Signup and view all the answers

<p>Monitoring for signs of infection and ensuring proper hand hygiene.</p> Signup and view all the answers

<p>By reducing fatty and oily foods and possibly collaborating with a dietitian.</p> Signup and view all the answers

<p>To prevent complications related to immobility, such as venous thromboembolism.</p> Signup and view all the answers

<p>The importance of lifestyle changes for long-term health.</p> Signup and view all the answers

<p>Common symptoms include abdominal pain, nausea, vomiting, and indigestion.</p> Signup and view all the answers

<p>Acute cholecystitis is a sudden inflammation of the gallbladder, while chronic gallbladder disease is a long-standing condition often resulting from repeated episodes of inflammation.</p> Signup and view all the answers

<p>Patients should follow a low-fat diet and avoid foods that trigger symptoms.</p> Signup and view all the answers

<p>Laparoscopic cholecystectomy is often the first-line treatment for acute cholecystitis.</p> Signup and view all the answers

<p>Patient education helps individuals understand their condition and manage symptoms effectively.</p> Signup and view all the answers

<p>Complications may include acute cholecystitis, pancreatitis, and jaundice.</p> Signup and view all the answers

<p>Obesity, high-fat diets, and sedentary lifestyle increase the risk of gallstone formation.</p> Signup and view all the answers

<p>Patients should manage pain effectively and adhere to dietary guidelines to promote recovery.</p> Signup and view all the answers

<p>The primary focus is on establishing a structured daily routine, educating about medication adherence, and implementing dietary modifications.</p> Signup and view all the answers

<p>Recognizing signs of complications such as fever or increased pain is crucial for timely intervention and preventing serious health issues.</p> Signup and view all the answers

<p>Nursing care is significant as it addresses both her post-operative condition and her existing chronic issues like hypertension and stroke history.</p> Signup and view all the answers

<p>Medication adherence is vital for infection prevention, pain management, and assisting bile flow, which are critical for her post-operative recovery.</p> Signup and view all the answers

<p>Dietary modifications, particularly a low-fat and low-oil diet, help prevent exacerbation of gallbladder issues and support digestive health.</p> Signup and view all the answers

<p>A collaborative healthcare approach involves teamwork among the patient, family, and various healthcare professionals like physical therapists and dietitians.</p> Signup and view all the answers

<p>Patient T faces risks of bradycardia and orthostatic hypotension, which can be addressed through tailored guidance on mobility and regular monitoring of her vital signs.</p> Signup and view all the answers

<p>Education emphasized medication adherence, recognizing signs of complications, and implementing dietary modifications.</p> Signup and view all the answers