ATI Chapter 54 Review: Cholecystitis and Cholelithiasis

In this focused review, we examine cholecystitis and cholelithiasis, including the formation of gallstones, biliary obstruction, inflammation of the gallbladder, and potential complications such as pancreatitis and peritonitis. This episode reviews risk factors, assessment findings, laboratory interpretation, diagnostic testing, medication therapy, surgical management, and postoperative care. Emphasis is placed on recognizing Murphy’s sign, differentiating acute and chronic manifestations, identifying laboratory indicators of bile duct obstruction, and understanding care of T-tubes and drainage systems. Nursing care related to pain management, bile acid therapy, dietary modifications, and complication monitoring is discussed to support clinical judgment and safe patient care.

Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 54.