Nursing Care Plan for Cholecystectomy| Cholecystectomy Overview;
Cholecystectomy is a surgery to remove the gallbladder.
Cholecystectomy is performed most frequently through laparoscopic incisions using laser. However, traditional open cholecystectomy is the treatment of choice for many patients with multiple/large gallstones either because of acute symptomatology or to prevent recurrence of stones.
This procedure is usually done on a short-stay basis; however, in the presence of suspected complications, e.g., empyema, gangrene, or perforation, an inpatient stay on a surgical unit is indicated.
Desired Outcomes/Evaluation Criteria | Nursing Care Plan for Cholecystectomy
Respiratory Status: Ventilation (NOC)
Establish effective breathing pattern.
Experience no signs of respiratory compromise/complications.
Nursing Care Plan for Cholecystectomy | Nursing Interventions for Cholecystectomy
Nursing Care Plan for Cholecystectomy | Nursing Interventions for Cholecystectomy and Rationale;
Nursing Interventions for Cholecystectomy and Rationale
Respiratory Monitoring (NIC)
Nursing Interventions for Cholecystectomy (Independent) | Nursing Care Plan for Cholecystectomy
Observe respiratory rate/depth. Rationale: Shallow breathing, splinting with respirations, holding breath may result in hypoventilation/atelectasis.
Auscultate breath sounds. Rationale: Areas of decreased/absent breath sounds suggest atelectasis, whereas adventitious sounds (wheezes, rhonchi) reflect congestion.
Assist patient to turn, cough, and deep breathe periodically. Show patient how to splint incision. Instruct in effective breathing techniques. Rationale: Promotes ventilation of all lung segments and mobilization and expectoration of secretions.
Elevate head of bed, maintain low-Fowler’s position. Support abdomen when coughing, ambulating. Rationale: Facilitates lung expansion. Splinting provides incisional support/decreases muscle tension to promote cooperation with therapeutic regimen.
Nursing Interventions for Cholecystectomy (Collaborative) | Nursing Care Plan for Cholecystectomy
Assist with respiratory treatments, e.g., incentive spirometer. Rationale: Maximizes expansion of lungs to prevent/resolve atelectasis.
Administer analgesics before breathing treatments/ therapeutic activities. Rationale: Facilitates more effective coughing, deep breathing, and activity.
This is a sample of Nursing Care Plan for Cholecystectomy.