Saturday, April 28, 2012

Nursing Care Plan for Peritonitis -Diagnosis and Interventions

Diagnosis and Interventions Nursing Care Plan Peritonitid

Peritonitis
is the inflammation of the peritoneum (the membrane which surrounds the abdominal organs).

There are three types of peritonitis:
  1. Spontaneus-this type of peritonitis is caused by a liver or kidney failure.
  2. 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.
  3. Dialysis associated-is a chronic inflammation of the peritoneum that occurs in persons which receive peritoneal dislysis.
Signs and Symptoms
  • Shock (neurogenic, hypovolemic or septic) occurred in some patients with generalized peritonitis.
  • Fever
  • 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.
  • Nausea
  • Vomiting
  • Decrease in peristalsis.

Nursing Assessment - Nursing Care Plan for Peritonitis

Equipment is performed in patients post laparotomy, is;
1. Respiratory
  • How does the respiratory tract, the type of breathing, respiratory sounds.
2. Circulation
  • Blood pressure, pulse, respiration, and temperature, skin color and capillary refill.
3. Nervous system: level of consciousness.

4. Dressing
  • Is there a tube, drainage?
  • Are there any signs of infection?
  • How wound healing?
5. Equipment
  • Monitor is installed.
  • Intravenous fluids or transfusions.
6. Sense of comfort
  • Pain, nausea, vomiting, patient positioning, and ventilation facilities.
7. Psychological: anxiety, mood after surgery.


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
  1. Monitor consciousness, vital signs, CVP, intake and output
  2. Observation and record the drain darai properties (color, number) drainage.
  3. In the set and move the position of the patient must be careful not to drain uprooted.
  4. A sterile surgical wound care.

Evaluation
1. Signs of peritonitis disappeared, including:
  • Normal body temperature
  • Normal pulse
  • Abdominal bloating
  • Normal peristaltic
  • Positive flatus
  • The positive bowel movement
2. Patients free of pain and can do the activity.
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.

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