Nursing care for gallstone

Nursing Interventions	Rationale
Monitor for signs and symptoms of increased or continued nausea or vomiting, abdominal cramps, weakness, twitching, irregular heart rate, paresthesia, hypoactive or absent bowel sounds, depressed respirations.	Prolonged vomiting, gastric aspiration, and restricted oral intake can lead to deficits in sodium, potassium, and chloride.
Eliminate noxious sights or smells from environment.	Reduces stimulation of vomiting center.
Perform frequent oral hygiene with alcohol-free mouthwash; apply lubricants.	Decreases dryness of oral mucous membranes; reduces risk of oral bleeding.
Keep patient NPO as necessary.	Decreases GI secretions and motility.
Promote bedrest, allowing patient to assume position of comfort.	Bedrest in low-Fowler’s position reduces intra-abdominal pressure; however, patient will naturally assume least painful position.
Note response to medication, and report to physician if pain is not being relieved.	Severe pain not relieved by routine measures may indicate developing complications or need for further intervention.
Ambulate and increase activity as tolerated.	Helpful in expulsion of flatus, reduction of abdominal distension. Contributes to overall recovery and sense of well-being and decreases possibility of secondary problems related to immobility (pneumonia, thrombophlebitis).
Consult with dietitian or nutritional support team as indicated.	Useful in establishing individual nutritional needs and most appropriate route.
Advance diet as tolerated, usually low-fat, and high-fiber. Restrict gas-producing foods (onions, cabbage, popcorn) and foods or fluids high in fats (butter, fried foods, nuts).	Meets nutritional requirements while minimizing stimulation of the gallbladder.
Monitor laboratory studies: BUN, prealbumin, albumin, total protein, transferrin levels.	Provides information about nutritional deficits or effectiveness of therapy.
Explain reasons for test procedures and preparations as needed.	Information can decrease anxiety, thereby reducing sympathetic stimulation.
Review disease process and prognosis. Discuss hospitalization and prospective treatment as indicated. Encourage questions, expression of concern.	Provides knowledge base from which patient can make informed choices. Effective communication and support at this time can diminish anxiety and promote healing.

Work Cited 

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Nursing intervention and Rational from Nurseslabs 4 Cholecystitis (Cholelithiasis) nursing Care Plans http://nurseslabs.com/4-cholecystitis-cholelithiasis-nursing-care-plans/