Peritonitis is the inflammation of the peritoneum (the membrane which surrounds the abdominal organs).
There are three types of peritonitis:
- Spontaneus-this type of peritonitis is caused by a liver or kidney failure.
- Secondary-is the inflammation of the peritoneum caused by another disease.The principal condition that causes secondary peritonitis is the spread of an infection from digestive organs or bowels.
- Dialysis associated-is a chronic inflammation of the peritoneum that occurs in persons which receive peritoneal dislysis.
- Shock (neurogenic, hypovolemic or septic) occurred in some patients with generalized peritonitis.
- Abdominal distension
- Abdominal tenderness and rigidity of the local, diffuse, general atrophy, depending on the expansion of irritation peritonitis.
- Bowel sounds inaudible to the general peritonitis may occur in areas far from the location of peritonitis.
- Decrease in peristalsis.
Nursing Assessment - Nursing Care Plan for Peritonitis
Equipment is performed in patients post laparotomy, is;
- How does the respiratory tract, the type of breathing, respiratory sounds.
- Blood pressure, pulse, respiration, and temperature, skin color and capillary refill.
- Is there a tube, drainage?
- Are there any signs of infection?
- How wound healing?
- Monitor is installed.
- Intravenous fluids or transfusions.
- Pain, nausea, vomiting, patient positioning, and ventilation facilities.
Nursing Diagnosis Nursing Care Plan for Peritonitis
1. Acute pain: abdominal strain related to the existence of pain in the abdomen.
2. Risk for Inifecton related to the incision / wound laparotomy.
3. Risk for Fluid Volume Deficit related to the presence of fever, fluid intake a bit and spending that much.
Postoperative Peritonitis Nursing Interventions
- Monitor consciousness, vital signs, CVP, intake and output
- Observation and record the drain darai properties (color, number) drainage.
- In the set and move the position of the patient must be careful not to drain uprooted.
- A sterile surgical wound care.
1. Signs of peritonitis disappeared, including:
- Normal body temperature
- Normal pulse
- Abdominal bloating
- Normal peristaltic
- Positive flatus
- The positive bowel movement
3. Patients free of postoperative complications.
4. Patients can maintain fluid and electrolyte balance and restore eating and drinking as usual.
5. Either the surgical wound.