Peritonitis: Nursing Management

Question 1

Peritonitis: Nursing Management

What to administer

Answer 1

1. IVF to replace lost fluids (isotonic)
2. Broad spectrum antibiotics
3. Oxygen if (+) dyspnea d/t ascites
4. Analgesics (Meperidine or Morphine)
5. Anti emetics (metoclopramide)

Question 2

Peritonitis: Nursing Management

What to monitor?

Answer 2

Weight and I/O to monitor fluids

Question 3

Peritonitis: Nursing Management

Patient position

Answer 3

Side lying position with knees flexed to lessen pain

Question 4

Peritonitis: Nursing Management

What to do to decompress the stomach and intestine

Answer 4

NGT insertion

Question 5

Peritonitis: Nursing Management

NGT insertion: rationale

Answer 5

To decompress the stomach and intestine

Question 6

Peritonitis: Nursing Management

True or False: maintain NPO

Answer 6

True

Question 7

Peritonitis: Nursing Management

Secondary Peritonitis: what to do?

Answer 7

Identify cause and treat

Question 8

Peritonitis: Nursing Management

Answer 8

1. Administration of the following as prescribed.
   * IV fluids to replace lost fluids (isotonic)
   * Broad spectrum antibiotics
   * Oxygen if there is dyspnea due to ascites
   * Analgesics (meperidine or morphine)
   * Antiemetics (metoclopramide)
2. Monitor daily weight, intake and output to monitor fluid status.
3. Side lying with knees flexed to lessen pain.
4. NGT insertion to decompress the stomach and intestine.
5. Maintain client on NPO.