Medical Surgical Nursing

Nutritional and Supportive Therapy

 Approximately 80% of the patients with acute gallbladder inflammation

achieve remission with rest, intravenous fluids, nasogastricsuction, analgesia,

and antibiotic agents. Unless the patient‘s condition deteriorates, surgical

intervention is delayed until the acute symptoms subside.

 Ursodeoxycholicacid given to dissolve the stone.

 Stone Removal by Instrumentation

1. A catheter and instrument with a basket.


2. The use of the ERCP endoscope.


3. Lithotripsy

Surgical Management

A chest x-ray, electrocardiogram, and liver function tests may be performed in

addition to x-ray studies of the gallbladder. Vitamin K may be administered if the