Medical-surgical Nursing Demystified

(Sean Pound) #1

(^318) Medical-Surgical Nursing Demystified



  • Abdominal distention

  • Abdominal pain—may be localized or generalized

  • Rebound pain (pain when quickly removing pressure during palpation of
    abdomen)

  • Rigid abdomen

  • Nausea, vomiting, loss of appetite

  • Decreased bowel sounds

  • Decreased urine output


INTERPRETING TEST RESULTS



  • Elevated white blood cell count (WBC).

  • Blood cultures to identify organisms.

  • Abdominal x-rays to show free air from perforation.

  • Ultrasound to identify causative problem (appendicitis, etc.).

  • Peritoneal lavage to analyze fluid for WBC count, bacteria, bile.

  • CT scan to identify causative problem (appendicitis, salpingitis, etc.).


TREATMENT



  • Intravenous fluids.

  • Administer broad-spectrum antibiotics.

  • Surgical intervention may be necessary to correct cause of peritonitis.

  • Pain management postoperatively.


NURSING DIAGNOSES



  • Acute pain

  • Impaired tissue integrity

  • Impaired skin integrity


NURSING INTERVENTION



  • Weigh daily.

  • Monitor vital signs.

Free download pdf