Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 7 Gastrointestinal System^289



  • Nausea and vomiting, especially following fatty foods

  • Loss of appetite

  • Fever

  • Increased air in intestinal tract (eructation, flatulence)

  • Pruritis (itching) of skin due to build-up of bile salts

  • Clay-colored stools due to lack of urobilinogen in gut (normally converted
    from bilirubin which was blocked with bile flow)

  • Jaundice—yellowish skin and mucous membrane discoloration

  • Icterus—yellowish discoloration of sclera (white of eye)

  • Dark, foamy urine as kidneys attempt to clear out bilirubin


INTERPRETING TEST RESULTS



  • Ultrasound of gallbladder shows cholelithiasis, inflammation.

  • HIDA scan (hepatic iminodiacetic acid) may be more sensitive than ultra-
    sound in showing obstructed duct.

  • CT scan shows inflammation or cholelithiasis.

  • MRCP (magnetic resonance cholangiopancreatography).

  • ERCP (endoscopic retrograde cholangiopancreatography).

  • Bilirubin direct (conjugated) and indirect (unconjugated) will be elevated if
    there is obstruction.

  • White blood cell (WBC) count elevation with inflammation.

  • Alkaline phosphatase, aspartate aminotransferase (AST), and lactate dehy-
    drogenase (LDH) will be elevated with abnormal liver function.


TREATMENT



  • Low-fat diet.

  • Intravenous fluid replacement for vomiting.

  • Administer antiemetics for control of nausea and vomiting:

    • prochlorperazine

    • trimethobenzamide



  • Replace fat-soluble vitamins (A, D, E, K) as needed.

  • Administer analgesics for adequate pain control:

    • meperidine



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