Nursing care of patients with acute cholecystitis.doc

 PAGE \* MERGEFORMAT 8 Nursing care of patients with acute cholecystitis [Keywords:] perioperative management of acute cholecystitis Calculous acute cholecystitis (celad.acute cholecystitis) is the stones in the gallbladder and the shift occurred during a common complication. Cholecystitis mostly primary cholecystitis. More common in women, 50 men and women before the age of the ratio of 1:3, 1:1.5 after 50 years of age. (A) of the preoperative care [Nursing assessment] 1. Health History (1) General information age, eating habits, nutritional status. (2) whether the past history of acid reflux, breathing, and a similar episode of abdominal fullness. 2. Physiological state (1) local pain location, nature, with or without tenderness, rebound tenderness and radiating pain, with or without peritoneal irritation sign, with or without mass and so on. (2) body without nausea, vomiting, fever, jaundice, ascites and other symptoms, state of consciousness, vital signs situation. (3) Check the biliary system-related auxiliary examination and blood biochemistry test results. 3. Mental state (1) cognition of patients on disease progression, treatment and understanding of nursing. (2) mental capacity of the patient’s psychological response of this disease on the surgical procedure, postoperative discomfort, the anxiety generated by the prognosis, and degree of fear response. 4. Social support system family and social support to patients, family affordability. (Nursing measures] 1. Help patients stay in bed, choose a comfortable supine under the condition, there are signs of peritonitis are advised to take semi-recumbent position. 2. Eating can contribute to cholecystokinin and increased biliary colic, therefore, guide the patient acute fasting in stable condition, the appropriate low-fat, high sugar, high vitamin digestible diet. 3. Pain Care (1) to observe the location and nature of change