Patient ID , Name : Santiago, 67th years old.

Cagayan Name: MAKSUM

Student Master of Nursing

August 23th 2017 Emergency Room STPH Tuguegarao City Diponegoro University

Life Style Diet high in cholesterol hypercholesterolemia Hepatitis, hepatomegali,

Cirrhosis hepatic
The formation of Arteriosclerosis
cholesterol stones
Bilirubin is not
the formation of Hypertensions conjugated
cholesterol crystals

settling occurs
Headache

Decrease in
concentration

Focus on discomfort

Risk fall
http://jellygamatgoldgplus.com

The stone is pushed into the cystic ducts

Cystic ducts obstruction

Distention of the Inflammation around Expenditure of enzyme Backflow of bile to Disturbance of bile flow
gallbladder the hepatobiller SGOT, SGPT liver into the duodenum

The bile fundus Stimulates the

touches the Increased levels of Vitamin A,D,E,K
parasympathetic nerve
abdominal wall Bilirubin in the blood absorption resistance

Response of Peristaltic decrease Pale skin, ikterus

Friction of the Blood clotting
inflammatory
gallbladder with disorders
abdominal wall
Food is not absorbed well Dry skin
Increased vases and
Pain sensation in the hemodynamic Risk of bleeding
upper right quadrant changes Puritus, itch
Increased stomach acid
Liquid buildup on
interstitials
Risk of impaired
Increased stomach acid
integrated of skin
Acute Pain
Increased abdominal
pressure loss of appetite

Abdominal distention

Nausea Vomit

Anorexia Risk of nutritional deficiency

Sheffield KM, Ramos KE, Djukom CD, Jimenez CJ, Mileski WJ, Kimbrough TD, Townsend CM Jr, Riall TS. 2013. Implementation of a critical pathway for
complicated gallstone disease. Acces September 10th 2017.

http://www.augis.org/wp-content/uploads/2014/05/Acute-Gallstones-Pathway-Final-Sept-2015.pdf, Acces September 10th 2017.

Patient ID , Name : Santiago, 67th years old. Cagayan Name: MAKSUM

Student Master of Nursing

August 23th 2017 Emergency Room STPH Tuguegarao City Diponegoro University
T. Heather Herdman, PhD, RN, FNI, and Shigemi Kamitsuru, PhD, RN, FNI, NANDA International Nursing Diagnoses: Definitions and
Classification 2018-2020, Eleventh Edition