- Nursing Implementation
- Health Promotion
- Assessment of patient for predisposing and etiologic factors
- Encouragement of early treatment of these factors
- Early diagnosis/treatment of biliary tract disease
- Elimination of alcohol intake
- Acute Care
- Monitoring vital signs
- Monitor response to IV fluids
- Closely monitor fluid and electrolyte balance
- Assess respiratory function
- Monitor fluid and electrolyte balance
- Chloride, sodium, and potassium
- Hypocalcemia
- Tetany
- Calcium gluconate to treat
- Chvostek’s sign is contraction of facial muscles in response to a light tap over the facial nerve in front of the ear.
- Trousseau’s sign is a carpal spasm induced by
- Inflating a blood pressure cuff above the systolic pressure for a few minutes.
- Hypomagnesemia
- Pain assessment and management
- Morphine
- Position of comfort with frequent position changes
- Flex trunk and draw knees to abdomen
- Side-lying with head of bed elevated 45 degrees
- Frequent oral/nasal care
- Proper administration of antacids
- Observation for signs of infection
- TCDB, semi-Fowler’s position
- Wound care
- Observation for paralytic ileus, renal failure, mental changes
- Monitor serum glucose
- Post-op wound care
- Ambulatory Care
- Physical therapy
- Assessment of opioid addiction
- Counseling regarding abstinence from alcohol and smoking
- Dietary teaching
- Low-fat, high-carbohydrate
- No crash diets
- Patient/family teaching
- Signs of infection, diabetes mellitus, steatorrhea
- Medications/diet
- Expected Outcomes
- Have adequate pain control
- Maintain adequate fluid volume
- Be knowledgeable about treatment regimen
- Get help for alcohol dependence and smoking cessation (if appropriate)
- Health Promotion
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