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Chronic Cholecystitis chronic cholecystitis (Mogotlane.S (ed), et al.,2015)
Chronic Cholecystitis
(Mogotlane.S (ed), et al.,2015)
Definition
Persistent inflammation of the gall bladder
Causes
By stones which are always present
Chronic irritation of the gall bladder
Result from repeated attacks of acute cholecystitis
Clinical manifestations
Leukocyte count is low
Pain is less severe
Dyspepia
Vague symptoms of discomfort
Flatulence
Fat intolerance
Vomiting and nausea
Pathophysiology
Mucosal lining become oedematous
Results from irritation by the concentrated bile from stasis
Hyperaemic and ischaemic due to venous congestion
Persistant inflammation of the gall bladder
Lymphatic stasis leading to marked gall bladder distension
Whole process cause gangrene and perforation of gall bladder
Severe scarring of of the gall bladder may results
Diagnostic tests
Ultrasonography
Blood tests
Radionuclide
Nursing management
Encourage weight reduction
Maintain adequate intake of fluids
Explains the importance of avoiding alcohol consumption
Monitor vital signs
Monitor electrolytes in case of diarrhoea
Nurse in a position of choice of the patient s' pain
Pharmacology Treatment
Antibiotics
Fluids may be given intravenously
Analgesics for pain
Diet therapy
Eat diet high in fruits and vegetables
Eat whole grain meal
Avoid large serving portion
Avoid high-fried foods
Surgery procedure
Cholecystectomy
Health Education
Execising 5 days per week for at least 30 minutes each time
losing weight can help to decrease risk of gallstones
Avoid saturated fats
(Mogotlane.S (ed), et al.,2015)