In a nursing care plan for cholelithiasis, the top priorities for nurses include pain management, maintaining fluid and electrolyte balance, preventing complications and educating patients about their illness, according to Nurseslabs. Cholelithiasis, which is the medical term for gallstones, are hard deposits composed of bile pigments or cholesterol that form in the gallbladder, according to Nutrition MD.
Four possible nursing diagnoses for a nursing care plan for the management of patients with cholelithias include risk for deficient fluid volume, acute pain, risk for imbalanced nutrition and deficient knowledge, according to Nurseslabs.
The nursing diagnosis of deficient fluid imbalance is essential because of the potential for significant fluid loss due to gastric suctioning, vomiting, abdominal distension and hypermobility of the gastrointestinal tract. Nursing interventions related to this diagnosis include accurate monitoring of patients’ intake and output and the assessment of the condition of skin and mucous membranes, skin turgor, peripheral pulses and capillary refill to ensure adequate hydration, according to Nurseslabs.
Cholelithiasis can be a painful experience for patients, so nursing care plans must include interventions that address acute pain. These interventions include assessment and documentation of the location, severity and character of patients’ pain, administering pain medication as prescribed and observing the patients’ response, according to Nurseslabs.
Risk for imbalanced nutrition is also an important nursing diagnosis for this illness. Nursing interventions that address this diagnosis include calculating their patients' daily caloric intake and consulting with a dietitian, according to Nurseslabs.