Peritonitis

Question 1

Peritonitis

Answer 1

Condition resulting from a localized or generalized inflammatory process of the peritoneum

Question 2

Common causes of peritonitis

Answer 2

1. Ruptured appendix
2. Perforated ulcer
3. Postoperative rupture of breakage of anastomosis in abdominal/pelvic cavity
4. Perforation from endoscopic procedures
5. Penetrating trauma to abdomen

Question 3

Assessment of Peritonitis

Answer 3

1. Abdominal pain
2. Rebound tenderness
3. Muscular rigidity
4. Spasms
5. Shallow respirations due to pain
6. Abdominal distention
7. Fever
8. N/V
9. Tachpnea, tachycardia

Question 4

Diagnostic Testing Peritonitis

Answer 4

• Abdominal x-ray
• CBC to look for elevated WBC
• Aspiration of peritoneal fluid
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Question 5

TNIs Peritonitis

Answer 5

1. Postoperative and post endoscopic procedure vital signs and abdominal assessment
2. Pain assessment
3. Maintain patent IV line and administer orderered antibiotics
4. Drain care and management
5. NPO and main need NG
6. Accurate I/O and Monitoring of electrolytes

Question 6

Nursing Diagnosis Peritonitis

Answer 6

1. Acute pain r/t inflammation of the peritoneum and abdominal distention
2. Risk for deficient fluid volume r/t fluid shifts into the peritoneal cavity
3. Imbalanced nutrition: less than body requirements r/t anorexia, nausea and vomiting