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    Nursing Care Plan Cholelithiasis

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    deric
    The nursing care plan for a patient with cholelithiasis includes the following: 1) Assessment of the patient's acute pain related to gallstones and inflammation. 2) Diagnosis of cholelithiasis based on the formation of gallstones composed of cholesterol, calcium salts, and bile pigments which cause blockage and pain. 3) A plan to observe and document the location, severity, and character of the patient's pain, promote bed

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    Nursing Care Plan Cholelithiasis

    Uploaded by

    deric
    59K views2 pages
    The nursing care plan for a patient with cholelithiasis includes the following: 1) Assessment of the patient's acute pain related to gallstones and inflammation. 2) Diagnosis of cholelithiasis based on the formation of gallstones composed of cholesterol, calcium salts, and bile pigments which cause blockage and pain. 3) A plan to observe and document the location, severity, and character of the patient's pain, promote bed

    Original Description:

    A free sample nursing care plan (ncp) for Cholelithiasis.

    Original Title

    NursingCrib.com Nursing Care Plan Cholelithiasis

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    © Attribution Non-Commercial (BY-NC)

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    The nursing care plan for a patient with cholelithiasis includes the following: 1) Assessment of the patient's acute pain related to gallstones and inflammation. 2) Diagnosis of cholelithiasis based on the formation of gallstones composed of cholesterol, calcium salts, and bile pigments which cause blockage and pain. 3) A plan to observe and document the location, severity, and character of the patient's pain, promote bed

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    59K views2 pages

    Nursing Care Plan Cholelithiasis

    Uploaded by

    deric
    The nursing care plan for a patient with cholelithiasis includes the following: 1) Assessment of the patient's acute pain related to gallstones and inflammation. 2) Diagnosis of cholelithiasis based on the formation of gallstones composed of cholesterol, calcium salts, and bile pigments which cause blockage and pain. 3) A plan to observe and document the location, severity, and character of the patient's pain, promote bed

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    NURSING CARE PLAN

    ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION


    Independent:
    Subjective: • Acute pain • Cholelithiasis is • After 8 hours • Observe and • Assist in • After 8
    related to the formation of of nursing document differentiating hours of
    “Masakit ang inflammation interventions location of pain, cause of pain nursing
    gallstones,
    tagiliran ko” as and distortion , the patient severity (0-10 and provides intervention
    verbalized by of tissues.
    which are pain will be scale), and information s, the
    patient. composed of relieved or character of pain. about disease patient pain
    cholesterol, controlled. progression, was relieved
    Objective: calcium salts, development of or
    and bile complications controlled.
    • Facial mask pigments. and
    of pain. When effectiveness of
    gallstones intervention.
    • Guarding block the flow • Promote bed rest, • Bed rest in low
    behavior. of bile, the and in low fowler’s position
    gallbladder fowler’s position. reduces intra
    • Self becomes abdominal
    foucusing. pressure.
    swollen,
    • Use soft cotton • Reduces
    • V/S taken as
    leading to the linens, calamine irritation,
    follows: possibility of lotion, oil bath dryness of the
    pain, and cool or moist skin and itching
    T: 37.3 inflammation, compress as sensation.
    P: 80 or infection. indicated.
    R: 18 The signs and • Control • Cool
    Bp: 110/90 symptoms of environmental surroundings
    cholelithiasis temperature. aid in
    often do not minimizing
    begin until the dermal
    discomfort.
    gallstone
    • Encourage use of • Promotes rest,
    causes
    relaxation redirects
    blockage in the technique. attention, may
    biliary system. enhance
    They may coping.
    include,
    abdominal
    pain, usually in
    the upper right Collaborative:
    quadrant of the Administer
    abdomen, medication as
    jaundice, fever. prescribed:
    Tests and • Anticholinergics. • Relieves reflex
    spasm or
    procedures that
    smooth muscle
    can detect contraction and
    cholelithiasis assist with pain
    include x-rays, management.
    CT scan, • Narcotics • Given to reduce
    ultrasound, severe pain.
    ERCP, and a
    cholecystogra
    m.

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