Inflammation of the gall bladder
Causes
* Exact cxauses is not known
* Gall stones and kinking or twisting of bile duct
Risk factor
* Sedentary life style
* Obesity
Signs & Symptoms
* Pain on right upper quadrant/epigastric or both
* Nausea
* Vomiting
* Increased temperature
* Mild jaundice
Investigations
* Ultrasonography
* Abdominal X-ray
* Blood cell count Test (TC, DC)
Management
Medical Management
* Hospitalization
* Administration of antibiotics
* Administration of parenteral analgesic
* Insertion of nasogastric tube if patient has vomiting
* Maintain of fluid and electrolyte balance with IV fluids
Surgical Management
* Cholecystecotmy (Removal of Gall bladder by surgery)
Nursing management
* History collection
* Client symptoms should be carefully monitored
* Check vital signs
* Administer pain medication
* Administer IV fluids
* Monitor intake output chart
* Watch for signs for dehydration
Complications of Gallstones
* Biliary Coilc
* Acute
Cholecystitis
• Gallbladder Empyema
• Gallbladder Gangrene
• Gallbladder Perforation
* Obstructive Jaundice
* Ascending Cholangitis
* Pancreatitis
* Gallstone ileus (rare)
