Cholecystitis Pancreatitis Case Study Mrs Pickle Is A 58 Year Old Caucasian Female Who Presented To The Er With Severe 1 (110.29 KiB) Viewed 37 times
Cholecystitis Pancreatitis Case Study Mrs Pickle Is A 58 Year Old Caucasian Female Who Presented To The Er With Severe 2 (99.85 KiB) Viewed 37 times
Cholecystitis/Pancreatitis Case Study Mrs. Pickle is a 58 year old Caucasian female who presented to the ER with severe abdominal pain, nausea, and vomiting. Her vital signs are stable (WDL). She has no respiratory distress. She is in the fetal position, with a pain level of 10. The Physician suspects acute cholecystitis. PMH: Type II DM, HTN, gallstones Current Meds: baby aspirin, Glucophage, captopril 1. Explain the pathophysiology of cholecystitis. Include calculous and acalculous. 2. List some causes of gall stones: 3. List some causes of acalculous cholecystitis: 4. What are the risk factors for acute cholecystitis? Which ones does Mrs. Pickle have? 5. What are the signs and symptoms of acute cholecystitis? How do they differ for chronic cholecystitis ? 6. What assessment data do you want to gather? a. Subjective b. Objective 7. What diagnostic test will the physician order to determine if Mrs. Pickle has cholecystitis? 8. Mrs. Pickle is scheduled for a Laparoscopic Cholecystectomy. What is the difference between this and an open Cholecystectomy? What are the pros/cons of each?
9. Before Mrs. Pickle is discharged, what teaching should be done? (Include information about post cholecystectomy syndrome.) One week after discharge, Mrs. Pickle returns to the ER with complaints of severe abdominal pain in the mid-epigastric area. Her skin is yellow, and she continues to have nausea and vomiting. She states, "it feels like a knife is being stabbed right through my chest". Acute Pancreatitis is suspected. Vital signs: pulse 120 RR 26 B/P 100/60, temp 100.4 1. What symptoms/signs is she displaying that are characteristic of acute pancreatitis? and makes a diagnosis of 2. Labs are drawn: an elevated pancreatitis likely. 3. What other labs might be abnormal? 4. What collaborative interventions are needed to help this patient? 5. What are the potential complications for the patient and what signs and symptoms are you watching for? 6. Explain the pathophysiology of acute pancreatitis and how it applies to this case? (Why did she likely get pancreatitis?)
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