Acute Calculous Cholecystitis Overview

Inflammation of the gallbladder, often caused by gallstones blocking the cystic duct.

Hardened deposits that can form in the gallbladder.

Surgical removal of the gallbladder.

A minimally invasive surgery to remove the gallbladder using small incisions.

Gallstones that cause noticeable symptoms, prompting treatment.

Gallstones present without symptoms.

Conditions like obesity, advanced age, and metabolic syndromes which increase susceptibility to the development of acute cholecystitis.

Inflammation of the gallbladder caused by a gallstone lodged in the cystic duct.

Care provided before, during, and after a surgical procedure.

High blood pressure that is managed to within a healthy range.

Inflammation of the gallbladder, often due to gallstones, requiring prompt treatment to avoid complications.

Minimally invasive surgical procedure to remove the gallbladder.

56-year-old woman admitted with severe abdominal pain, gallstones, and pre-existing conditions including hypertension, angina, and stroke.

Pre-existing medical issues that are long-lasting (hypertension, angina, stroke).

Extremely severe pain, reported by Patient T.

Pain in the abdomen, the area of the body from the chest to the hips.

Inflammation of the gallbladder caused by gallstones..

Specific plan to manage Patient T's symptoms while considering her health conditions.

Patient T experienced an ischemic stroke in 2013, leaving her with limited head movement and paralysis in the rest of her body.

Patient T has a history of heart failure, diagnosed in 1974, and a family history of cardiovascular issues, including hypertension and heart attacks.

Patient T experienced an allergic reaction to Cotrimoxazole in 2005, characterized by swelling, redness, and itching.

On October 10, 2024, Patient T underwent a laparoscopic cholecystectomy for acute calculous cholecystitis.

Patient T's respiratory rate was 19 cycles per minute in October 2024, within the normal range.

Patient T had a productive cough with yellow sputum and a nicotine odor, starting post-surgery.

Patient T smoked one pack of cigarettes per day before admission, equivalent to 7,300 cigarettes over 34 pack-years since 1990.

A systematic approach involving thorough assessment, close monitoring of vital signs (especially blood pressure), pain relief, and identification of potential diagnoses, risk factors, and individual care plan needs.

Administering analgesics, patient positioning (e.g., head of bed elevated) to reduce pressure on the inflamed gallbladder, and assess effectiveness.

Monitoring for signs of infection (fever, white blood cell changes), ensuring proper hand hygiene, and maintaining aseptic techniques.

Educating the patient about reducing fatty and oily foods to prevent further gallstone formation and future attacks, with guidance from a dietitian for a well balanced diet plan.

Identifying and managing complications like bleeding, bile leakage, if surgery is necessary, plus patient's mobility and emotional support.

Incorporating lifestyle modifications for long-term health improvement, ensuring patient understanding and support with dietary changes.

Regular monitoring of blood pressure, heart rate & temperature, as fever can signal infection, crucial for early detection.

Hardened deposits that form in the gallbladder.

Inflammation of the gallbladder, often caused by gallstones.

Surgical removal of the gallbladder.

Minimally invasive gallbladder removal procedure.

Gallstones causing noticeable symptoms.

Gallstones present without symptoms.

Conditions increasing gallbladder inflammation risk.

Inflammation caused by a gallstone blocking a duct.

Dietary approaches for gallbladder patients.

A holistic approach to patient care that considers the patient's unique needs and medical history.

Components of the plan include: establishing a structured routine, medication adherence education, and dietary modifications.

Difficulties experienced after surgery; consider issues beyond the immediate surgical outcome.

Following prescribed medication instructions precisely and consistently.

Possible negative outcomes associated with surgery or treatment, such as fever or pain.

A patient's history of various health conditions, potentially requiring careful monitoring and management.

A working relationship where the patient, family, and healthcare team all contribute to care.

Changes in diet to manage medical conditions or promote healing.

Professional care provided by nurses, encompassing assessment, support, and education.

Long-lasting health conditions that require ongoing management.

Strategies to control or reduce pain, considering both physical and emotional aspects.

Activities and measures to decrease the risk of infection, such as using antibiotics.

The movement of bile from the liver and gallbladder to aid digestion.