caused by perforation of a peptic ulcer, the bowel, or appendix; abdominal trauma; IBD; ruptured ectopic pregnancy; or infection during peritoneal dialysis
What is peritonitis?
100
shows marked leukocytosis
What is WBC count?
100
decreases with peritonitis
What is gastric motility?
100
used to relieve distention by suctioning gas and fluids
What is an NG tube?
100
may be necessary for clients with prolonged recovery time
What is TPN?
200
serous sac lining the abdominal cavity
What is the peritoneum?
200
reveals free air and fluid in the peritoneum cavity
What are abdominal radiographs?
200
may be absent initially, but increases as infection becomes established
What is fever?
200
prescribed for N&V
What are antiemetics?
200
to ease anxiety and calm patients fears
Why provide emotional supportwith frequent explanations?
300
leads to tissue edema and leakage of fluids
What is the growth of bacteria?
300
identifies structural changes in abdominal organs
What is a CT or ultrasonagraphy?
300
these are usually absent
What are bowel sounds?
300
large doses of these are given to combat infection
What are antibiotics?
300
if the client experiences any of these, notify the Dr. immediately
What are abdominal distention, fever, changes in LOC, or deviations in vitals?
400
this has increasing amounts of bacteria, protein, blood, cellular debris, and WBC's
What is the fluid in the abdominal cavity?
400
types of bacteria that are usually revealed with cultures of peritoneal fluid and blood
What are E. coli, Klebsiell, Pseudomonas, & Proteus?
400
If peritonitis is unresolved, these occur as the client nears death
What are severe weakness, hypotension, and a decrease in body temperature?
400
replaces substances relocated in the peritoneal cavity and lost through vomiting and drainage from gastric intubation
What are IV fluids and electrolytes?
400
If ordered, a nurse passes this and connects it to suction
What is a nasogastric tube?
500
If peritonitis is not treated promptly and adequately, this can occur
What is death?
500
If left untreated, this can develop
What is sepsis?
500
most common symptoms of peritonitis
What are abdominal pain, distention, tenderness, N&V?
500
this is surgically closed so that intestinal contents can no longer escape
What is a perforation?
500
the nurse assesses the circulatory status by taking these frequently