Nursing care plan on Cholithiasis

COLLEGE OF NURSING ALLIED 2 HOSPITAL (FMU) FAISALABAD

Patient name: Hamad Age: 32 years sex: Male

Registration#:56342 Date: 17-04-2023 Bed#:7

Assessment Diagnosis Planning Interventions Rationale Evaluation

Subjective Acute pain Cholelithiasis is Dependent: •Assist in •After 8hours of
Data: related to the formation of Administer medication as differentiating nursing
“Masakit inflammation and gallstones prescribed: cause of pain and interventions, the
angtagiliran ko” distortion of ,which are • Anti cholinergics. provides patient pain was
as verbalized by composed of •Narcotics information about
tissues. relieved or
patient. cholesterol, In-Dependent: disease
Objective Data: calcium •Observe and document progression, controlled.
1.Facial mask of salts,and bile location of pain ,severity (0- development of Diet
pain. pigments. When 10scale), and character of complications and Recommendation
2. Guarding gall stones block pain. effectiveness of Lentils, dhal.
behavior. the flow of bile, • Promote bed rest ,and in intervention. Poultry, fish, eggs,
3.Self focusing. the gall bladder low fowler’s position. •Bed rest in low meat, nuts, and
Vital sign: becomes •Use soft cotton linens, fowler’s position other meat
Blood pressure swollen. calamine lotion, oil bath reduces intra alternatives such
120/80mmHg Signs and and cool or moist compress abdominal as Quorn soya or
Temperature symptoms of as indicated. pressure.
tofu.Aim for 2-3
cholelithiasis • Control environmental •Reduces irritation,
98F portions a day.
include temperature. dryness of the skin
Pulse 76/m
gallbladder and itching
Labs: attacks, or sensation.
CBC biliary colic, • Cool surrounding
HCV characterized by said in minimizing
HBV sever ,rapidly dermal discomfort.
PT intensifying Relieves reflex
RBC abdominal pain spasm or smooth
platelet localized to the muscle contraction
Urea upper right or and assist with pain
central management.
abdomen. • Given to reduce
severe pain.
Submitted to: Mam Rubina Kousor

Submitted by:Tayiba Ashraf

Class: BSN Generic 1st Year