Nursing care plan cholecystectomy

I. Indications—For the treatment of symptomatic gallstones,
infection of the gallbladder or biliary ducts, calcified gallbladder,
or cancer or trauma

II. Procedures
a. Laparoscopic cholecystectomy: for removal of gallstones;
performed using video endoscopy, with instruments inserted
through small abdominal incisions
b. Open cholecystectomy: for multiple or large gallstones,
common bile duct stones, history of previous surgeries with
scarring, or unsuccessful laparoscopic cholecystectomy

III. Statistics (Heuman et al, 2006)
a. Morbidity: On an annual basis, approximately 500,000
Americans develop symptoms or complications of
gallstones, requiring cholecystectomy.
b. Mortality: Several hundred deaths (annually) are attributed
to complications of cholecystectomy.

Care Setting
This procedure is usually done on a short-stay basis; however,
in the presence of suspected complications such as empyema,
gangrene, or perforation, an inpatient stay on a surgical unit is
indicated.

Related Concerns
Cholecystitis with cholelithiasis
Pancreatitis
Peritonitis
Psychosocial aspects of care
Surgical intervention

Nursing Priorities
1. Promote respiratory function.
2. Prevent complications.
3. Provide information about disease, procedure(s), prognosis,

Discharge Goals
1. Ventilation and oxygenation adequate for individual needs.
2. Complications prevented or minimized.
3. Disease process, surgical procedure, prognosis, and therapeutic
regimen understood.
4. Plan in place to meet needs after discharge.
and treatment needs.

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