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I am in school and trying to answer a few question and can NOT find the answer anywhere!! With choledocholelithiasis what kind of meds would you give, and would you give morphine?

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Specializes in Pediatric Critical Care, Cardiac, EMS.
I am in school and trying to answer a few question and can NOT find the answer anywhere!! With choledocholelithiasis what kind of meds would you give, and would you give morphine?

Research the condition first. Once you know the pathology, you get a pretty good clue as to the generally recommended treatment.

So once you know that choledocholelithiasis is gallstones, you can pretty much feel your way along from there.

Another hint: what effect do opiates have on the GI tract (including the biliary duct)?

Hope this helps.

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Specializes in Certified Med/Surg tele, and other stuff.

Think of the disease process/ symptoms. That should tell you what meds you should be giving.

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Specializes in Orthopedic Surgery.

Just for a but of clarification, choledocolithiasis specifies a gall stone in the bile duct not just a gall stone which would be called cholelithiasis. As for morphine, from my experience docs tend to steer clear of it due to the incteased risk of spasms in the sphincter of oddi. Hope that helps a bit!

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Specializes in Pediatric Critical Care, Cardiac, EMS.
Just for a but of clarification, choledocolithiasis specifies a gall stone in the bile duct not just a gall stone which would be called cholelithiasis. As for morphine, from my experience docs tend to steer clear of it due to the incteased risk of spasms in the sphincter of oddi. Hope that helps a bit!

I was kind of aiming towards pointing the student in a general direction rather than giving them the answer entirely, bless your kind heart.

;)

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Specializes in Intermediate care.

no morphine, it 1) slows down GI tract and 2) can cause spasm of sphincter of ode (i think that is what it is called). Anyway...the answer to the morphine question is NO!

Diet is big, LOW fat diet. Bile is released when you ingest fat, less fat you eat, less bile is released causing less pain.

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Specializes in Orthopedic Surgery.

A bit of sarcasm maybe? I can appreciate what you were doing, seriously. Wasnt trying to be offensive at all. I just remember how frustrating it could be as a student sometimes. Thats why I threw out the answer and tried to explain why to help them better understand. It helped me to know the "why". Truthfully meant no harm!

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Specializes in Pediatric Critical Care, Cardiac, EMS.
A bit of sarcasm maybe? I can appreciate what you were doing, seriously. Wasnt trying to be offensive at all. I just remember how frustrating it could be as a student sometimes. Thats why I threw out the answer and tried to explain why to help them better understand. It helped me to know the "why". Truthfully meant no harm!

Oh, I know. Was being tongue in cheek with it. Getting ready to start graduate school, so I know all about the frustration aspect. Learning for me is as much about the process as the answer, sometimes - hence the comment. No offense meant, and none taken.

Hopefully, the OP is getting something out of all of this. :lol2:

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Specializes in Hospice / Psych / RNAC.
Oh, I know. Was being tongue in cheek with it. Getting ready to start graduate school, so I know all about the frustration aspect. Learning for me is as much about the process as the answer, sometimes - hence the comment. No offense meant, and none taken.

Hopefully, the OP is getting something out of all of this. :lol2:

I know how frustrating school can be. It's times of teaching such as these that influence the student most IMO. Search the brain first and all hints provided by the team (that's us ;)) and then when all else fails hold up the white flag and rest ... there is always tomorrow for more fun and games.

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