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Cholecystitis, Complications: Gangrenous Cholecystitis Subphrenic abscess Pancreatitis Cholangitis Biliary Cirrhosis Fistulas Rupture of the Gallbladder which can produce bile peritonitis. Medical Diagnosis: Cholecystitis Signs & Symptoms: Indigestion with moderate to severe pain. Fever Jaundice Tenderness of the Right upper quadrant which may be reffered to the right shoulder and scapula. Nausea Vomiting Restlessness Diaphoresis (sweating) Leukocytosis Abdominal Rigidity Fat intolerance Dyspepsia Flatulence., Complications: Gangrenous Cholecystitis Subphrenic abscess Pancreatitis Cholangitis Biliary Cirrhosis Fistulas Rupture of the Gallbladder which can produce bile peritonitis. Medical Diagnosis: Cholecystitis Nursing Interventions: Provide for comfort and emotional support. Administer pain meds as indicated. Discuss with client procedure and post operative management. Monitor fluid and electrolytes., Complications: Gangrenous Cholecystitis Subphrenic abscess Pancreatitis Cholangitis Biliary Cirrhosis Fistulas Rupture of the Gallbladder which can produce bile peritonitis. Medical Diagnosis: Cholecystitis Risk Factors: Gallstones or biliary buldge Trauma Extensive Burns Recent Surgery Prolonged Immobility Fasting Prolonged Parenteral Nurtition DM, Complications: Gangrenous Cholecystitis Subphrenic abscess Pancreatitis Cholangitis Biliary Cirrhosis Fistulas Rupture of the Gallbladder which can produce bile peritonitis. Medical Diagnosis: Cholecystitis Pathophysiology: Inflammation or infection of the Gallbladder usually caused by Obstruction or bacteria such as E. Coli. Other factors include adhesions, neoplasms, anesthesia, and narcotics. Inflammation may be confined to the mucous lining or involve the entire wall of the gallbladder. During an attack the gallbladder is usually edematous and hyperemic, it may be distended with bile or pus., Complications: Gangrenous Cholecystitis Subphrenic abscess Pancreatitis Cholangitis Biliary Cirrhosis Fistulas Rupture of the Gallbladder which can produce bile peritonitis. Medical Diagnosis: Cholecystitis Possible Nursing Dx: Acute Pain r/t Surgical Procedure Ineffective theraputic Regimen management r/t lack of knowledge of diet and postoperative management., Complications: Gangrenous Cholecystitis Subphrenic abscess Pancreatitis Cholangitis Biliary Cirrhosis Fistulas Rupture of the Gallbladder which can produce bile peritonitis. Medical Diagnosis: Cholecystitis Diagnostic Procedures & Medications: Ultrasound ERCP Lab tests such as CBC for a WBC count. Bilirubin levels. ALT & AST Cholecystectomy H&P IV Anti-emetics Analgesics Anticholinergics Antibiotics