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Published on Sep 26, 2019
Cholecystitis nursing NCLEX review about the pathophysiology, symptoms, risk factors, and nursing care (includes t-tube drain, cholecystectomy, cholecystostomy tube).
Cholecystitis occurs when inflammation presents in the gallbladder. The gallbladder is an organ found under the liver and it stores bile. Bile helps with the digestion of fats and help bilirubin exit the body via the stool.
Cholecystitis most commonly occurs due to gallstones (cholelithasis). It can also occur in very sick patients or after a trauma or surgery even though gallstones are not presenting (acalculous).
Signs and symptoms of cholecystitis include upper GI pain (epigastric) that travels to the right shoulder blade (this pain tends to increase after a heavy greasy/fatty/spicy meal), positive Murphy's Sign, nausea, vomiting, steatorrhea, fever, and tachycardia.
Treatment for cholecystitis includes cholecystectomy (removal of gallbladder), ERCP (to remove the gallstones), pain medication, nausea medication, IV fluids, nasogastric tube, T-Tube, or cholecystostomy (for patients who can't immediately have the gallbladder removed).
Please see the video for nursing care for a patient with cholecystitis.