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Peritonitis PDF

1. Peritonitis is inflammation of the peritoneum, which is the membrane lining the abdominal wall and covering internal organs, usually caused by a bacterial or fungal infection. 2. Patients with peritonitis experience abdominal pain, fever, and leukocytosis, and signs of sepsis like hypotension and tachycardia. 3. Treatment depends on whether the peritonitis is generalized or localized, and the patient's hemodynamic stability. Antibiotics are prescribed, and exploratory surgery may be needed if the patient does not improve clinically.

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279 views1 page

Peritonitis PDF

1. Peritonitis is inflammation of the peritoneum, which is the membrane lining the abdominal wall and covering internal organs, usually caused by a bacterial or fungal infection. 2. Patients with peritonitis experience abdominal pain, fever, and leukocytosis, and signs of sepsis like hypotension and tachycardia. 3. Treatment depends on whether the peritonitis is generalized or localized, and the patient's hemodynamic stability. Antibiotics are prescribed, and exploratory surgery may be needed if the patient does not improve clinically.

Uploaded by

Honey Macabuhay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PP EE RR II TT O

ONN II TT II SS
Peritonitis is inflammation of the peritoneum — a silk-like membrane that
lines your inner abdominal wall and covers the organs within your
abdomen — that is usually due to a bacterial or fungal infection.
Patients with signs and Patient receiving peritoneal
symptoms of Peritonitis dialysis
Abdominal pain with or without Cloudy dialysis fluid
guarding or rebound white fleck, stands or clumps
fever (fibrin) in the dialysis fluid
leukocytosis
signs of sepsis (hypotension and
tachycardia)

YES Is the peritonitis generalized? NO

- Assess for potential


secondary peritonitis +
YES
Localized peritonitis
Is the patient
hemodynamically NO
stable?
Consider primary
1. Assess the degree 1. Antibiotics
peritonitis
of contamination through 2. Volume resuscitation
imaging tests such as 3. +/- vasopressors
Peritoneal Dialysis
Ascites abdominal ultrasound
2. Antibiotics Failure to clinically
Drain peritoneal
Diagnostic improve
fluid and irrigate Gram staining and culture, cell count
Paracentesis
2-3 times
Exploratory
Antibiotics Laparotomy

Condition tailor antibiotics Monomicrobial Polymicrobial broaden antibiotic


resolved and continue for 7 culture culture coverage
days or more

Condition does Monitor vital signs. A temperature of 37.8C Monitor tube drainage every 1 to 2 hours
not resolve to 38.3C can be expected along with an for color, amount, and other
increased pulse rate.  characteristics.
 Provide tepid sponge bath Provide emotional support to the patient
and his family and teach them which
Encourage increase of fluid intake
signs and symptoms to report
Place the patient in a comfortable position
immediately, such as changes in pain
that maximizes air exchange, such as semi-
characteristics, difficulty breathing,
Fowler's to high Fowler's position. nausea or vomiting, or light-headedness.

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