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Pathophysiology of Hydrops Of The Gallbladder Acute

On Chronic Calculous Cholecystitis Choledocholithiasis

Precipitating Factors:
Predisposing Factors:
Pregnancy: hormonal
Age: 33 years old
therapy
Gender: Female
Diet: Increased Cholesterol
Race: Asian
inatke

Abnormal metabolism of cholesterol and bile salts

Impaired gallbladder motility

Biliary stasis

Gallstone formation/ Cholelithiasis

Obstruction of Cystic Duct, then
Ultrasound
Common bile duct (Choledocholithiasis)

Inflammation of the gallbladder

Trapped bile irritates the gallbladder wall

Infection of the gallbladder

Episodes of cystic duct obstruction Acute Cholecystitis

Gallbladder becomes fibrotic

Acute Pain Decreased motility and Deficient absorption

-RUQ pain
-(+) Murphy's Sign Chronic Cholecystitis
-N/V Antiulcer:
Cholecystectomy
-Omeprazole
Pain reliever:
Hematology
-Ketorolac
-Tramadol Pain reliever:
Antibiotic: -Ketorolac
-Ineffective breathing pattern
-Ciprofloxacin -Tramadol
R/t pain
-Piperacillin+ Antibiotic:
-Acute Pain
Tazobactam -Ciprofloxacin
-Risk for [Spread Of] infection
-Metronidazole -Piperacillin+
-Disturbed sleeping pattern
Antiemetic: Tazobactam
-Domperidone -Metronidazole
-Metoclopramide
-Edema Inflammation of the liver's bile
Obstructed Bile flow
-distended channels/bile ducts
bladder

Furosemide
Extrahepatic Obstructive Intrahepatic Obstructive
Jaundice Jaundice

Liver Damaged

Impaired Skin Integrity
Risk for Bleeding

Anthistamines
-Diphenhydramine Coagulant:
-Cetirizine
-Viatmin K

Disease Process
LEGEND:
Diagnostic Test

Surgical Management

Nursing Diagnosis

Signs and Symptoms

Medical Management

Disease