- 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
Healthy Eating and the Holidays
KEY POINTS ‘Tis the season for family, festivity, and food—lots of food. How do you manage diabetes during the holidays when food temptations are just
