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2 Minute EBP Challenge

Monday, January 30, 2012
Scrub the Hub
The Centers for Disease Control (CDC) recommends that central venous catheter (CVC) hubs be scrubbed for how long?

Monday, January 23, 2012
Severe Sepsis and AF Risk
Up to 20% of patients with severe sepsis develop a new onset atrial fibrillation.  Which factor was not associated with increased risk?

Monday, January 16, 2012
Unreported Hospital Errors
In a recent study the Department of Health and Human Service reports that what percentage of hospital errors go unreported?

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  • Get tips, timesavers, and more from
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN

    Home > 2 Minute EBP Challenge > Gallstone complications

    Gallstone complications

    Monday, April 26, 2010

    Stay up-to-date the easy way!

    How would you answer this question? 

    A common complication for a patient with cholelithiasis and obstruction of the common bile duct is:

    a. Bleeding.
    b. Gastritis.
    c. Thromboembolism.
    d. Biliary cirrhosis.

    The correct answer is "d" biliary cirrhosis.

    Cholelithiasis is the production of hard material in the gallbladder that causes pain, nausea and vomiting.  The gallbladder is a muscular sac that collects bile from the liver.  When digestion requires it, bile is squirted from the gallbladder into the intestines.  While bile is sitting in the gallbladder, cholesterol tends to settle out and drop to the bottom of the gallbladder.  Over time the settled cholesterol can form into hard "stones" that obstruct the bile tract.  Approximately 70% of adults have stones in their gallbladder on autopsy.

    When gall stones obstruct of the common bile duct, bile will back up into the liver and damage liver cells, causing biliary cirrhosis. Bleeding, gastritis, and thromboembolism are not common complications of biliary obstruction.

    From: Chiang, W. K., et al. (2009).  Cholelithiasis.  Retrieved April, 26, 2010 from http://emedicine.medscape.com/article/774352-overview. 
     
    Congratulations to Anita Engle who won an autographed copy of my 101 Tips to Improve Your Nursing Care book for answering this week's question correctly.  Congratulations Anita! 

    Best wishes,
    David W. Woodruff, MSN, RN-BC, CNS, CEN
    President,     Ed4Nurses, Inc.

    PS. PJs, bunny slippers, and professional education? Call about our web-based seminars that you can attend from home!  (800) 990-2629.

    (c) 2010 Ed4Nurses, Inc.  Feel free to print this e-mail and share it with your colleagues. Other forms of digital or print reproduction are prohibited without prior written consent from Ed4Nurses, Inc.
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