Cholecystitis
Where would the patient be complaining of pain?
RUQ pain
Before giving a medication, what should you check?
Name, DOB, allergies, assessment and vitals
Measure from nose to ear, to xiphoid process
How often do you assess pain?
Prior to pain medication administration, 30 minutes after IV pain medication administration, 1hr after PO administration.
What is a respiratory concern post-op?
Pneumonia and atelectasis
What is cholecystitis?
Inflammation caused by the presence of gallstones in the bile duct
What are the seven rights of medication administration?
Right time, frequency, dose, route, patient, medication, documentation
When calling a doctor what should you have ready?
Vitals, assessment findings, and a paper to write and repeat back order
Why would we insert an NG tube?
For nausea and vomiting to decompress the stomach
When should pre-operative teaching begin?
As soon as surgery is confirmed
What diet would you suggest for a patient with cholecystitis?
Low fat diet
What would you do if patient has an allergy to a medication that is prescribed?
Hold medication and call provider
What should be completed prior to insertion of a foley?
Bladder Scan and provider order
How long do you give the patient to void before calling the physician?
About 6hrs
What is the purpose of SCD's?
To prevent DVT (deep vein thrombosis)
What diagnostic test should be ordered after a cholecystectomy?
A CT scan
What is the medication Zofran used for?
Nausea and Vomiting
What is the appropriate suction level for a continuous suction?
-20 mmHg
What should be done before sending a patient to surgery?
Pre-operative checklist including signed consent
How does the nurse know if pre-operative teaching is effective?
If patient understands the purpose of the surgery
What labs would be abnormal with cholecystitis?
BUN, bilirubin, creatinine, liver enzymes
What is needed to waste a narcotic.
A second nurse to witness waste
What electrolyte can stop a patient from going to surgery?
How often do you do vitals post-surgery?
15 minutes x4, 30 minutes x2, every hour after
What should a patient expect after abdominal surgery?