Case Study
HOLY ANGEL UNIVERSITY
COLLEGE OF NURSING
Angeles City
[pic]
CASE STUDY
T/C MECHANICAL INTESTINAL OBSTRUCTION PROBABLY SECONDARY TO POST-OP ADHESIONS, CALCULOUS CHOLECYSTITIS
In partial fulfillment of the course requirements
In NCM105 RLE
SUBMITTED TO:
Mr. Mark Lester Q. Alvarado, RN, MAN
SUBMITTED BY:
Mancile, Benjierose
Mendoza, Christian
Molon, Anna Marrie
Panlilio, Fides Ana
Paras, Florci Lhaica
Paruli, Judy Anne
Pineda, Lewell
Pingol, Niña Angela
Quiño, Charmie Camille
Rivera, Al
Santiago, Maricon
Supleo, Jurene
N-406 Group 3
I. Introduction
1. Description of the Disease
Cholelithiasis or Gallstone disease is the presence of one or more calculi or stones in the gallbladder, which is the hollow organ under the liver that, stores bile. (Lee, 2008). It results from changes in bile components. Gallstones are made of cholesterol, calcium bilirubinate, or a mixture of cholesterol and bilirubin pigment. They arise during periods of sluggishness in the gallbladder due to pregnancy, hormonal contraceptives, diabetes mellitus, celiac disease, cirrhosis of the liver, and pancreatitis (Springhouse, 2005). Fewer than half of the people with gallstones report any distress because the gallstones cause no manifestations unless complications develop. The most specific characteristic manifestation of gallstone disease is pain or biliary cholic which is caused b the spasm of the biliary ducts as they try to dislodge the stones (Black & Hawks 2008). They begin with acute abdominal pain in the right upper quadrant that may radiate to the back, between the shoulders, or to the front of the chest; the pain may be so severe that the patient seeks emergency department care. Other features may include recurring fat intolerance, biliary colic, belching, flatulence, indigestion, diaphoresis, nausea, vomiting, chills, low-grade fever, jaundice (if a stone obstructs the common bile duct), and
COLLEGE OF NURSING
Angeles City
[pic]
CASE STUDY
T/C MECHANICAL INTESTINAL OBSTRUCTION PROBABLY SECONDARY TO POST-OP ADHESIONS, CALCULOUS CHOLECYSTITIS
In partial fulfillment of the course requirements
In NCM105 RLE
SUBMITTED TO:
Mr. Mark Lester Q. Alvarado, RN, MAN
SUBMITTED BY:
Mancile, Benjierose
Mendoza, Christian
Molon, Anna Marrie
Panlilio, Fides Ana
Paras, Florci Lhaica
Paruli, Judy Anne
Pineda, Lewell
Pingol, Niña Angela
Quiño, Charmie Camille
Rivera, Al
Santiago, Maricon
Supleo, Jurene
N-406 Group 3
I. Introduction
1. Description of the Disease
Cholelithiasis or Gallstone disease is the presence of one or more calculi or stones in the gallbladder, which is the hollow organ under the liver that, stores bile. (Lee, 2008). It results from changes in bile components. Gallstones are made of cholesterol, calcium bilirubinate, or a mixture of cholesterol and bilirubin pigment. They arise during periods of sluggishness in the gallbladder due to pregnancy, hormonal contraceptives, diabetes mellitus, celiac disease, cirrhosis of the liver, and pancreatitis (Springhouse, 2005). Fewer than half of the people with gallstones report any distress because the gallstones cause no manifestations unless complications develop. The most specific characteristic manifestation of gallstone disease is pain or biliary cholic which is caused b the spasm of the biliary ducts as they try to dislodge the stones (Black & Hawks 2008). They begin with acute abdominal pain in the right upper quadrant that may radiate to the back, between the shoulders, or to the front of the chest; the pain may be so severe that the patient seeks emergency department care. Other features may include recurring fat intolerance, biliary colic, belching, flatulence, indigestion, diaphoresis, nausea, vomiting, chills, low-grade fever, jaundice (if a stone obstructs the common bile duct), and
Bibliography: Black, J. & Hawks, J. (2009). Medical-Surgical Nursing: Clinical Management for Positive Outcomes. 8th Edition. Saunders Cicala, M., Corazziari, E., Habib, F., Scand, J Heuman, D. & Mihas, A. (2010). http://emedicine.medscape.com/article/175667-overview: “Cholelithiasis”. Lee, D. & Marks, J. (2008). http://www.medicinenet.com/gallstones/page11.htm: “Gallstones”. NDDIC. (2007). http://digestive.niddk.nih.gov/ddiseases/pubs/gallstones/: “Gallstones”. Reyes, T. (2007). http://library.pchrd.dost.gov.ph/index.php/news-archive/447: “Gallstones”. Seeley, R., Stephens T. & Tate, P. (2007). Essentials of Anatomy and Physiology. 6th Edition. McGraw Hill. WebMd. (2009). http://www.webmd.com/digestive-disorders/tc/gallstones-topic-overview?page=2: “Gallstones”. Wikipedia. (2010). http://en.wikipedia.org/wiki/Bile: “Bile”. Wikipedia. (2010). http://en.wikipedia.org/wiki/Cholecystectomy: “Cholecystectomy”. Wikipedia (2010). http://en.wikipedia.org/wiki/Gallbladder: “Gallbladder”.