Per

it
oni
ti
s
Per
it
oni
ti
sisinf
lammati
onoftheperi
toneum asil
k-l
i
keMembranethatl
i
nesyouri
nner
abdomi
nalwal
landcover
stheorganswit
hinyourabdomenthati
susuall
yduet
oabacteri
alor
fungalinf
ect
ion.

Causes:

 I
njur
y

 Gunshotwoundorst
abwound

 Bact
eri
ali
nfect
ion

 I
nfl
ammat
ion

 Pancr
eat
it
is

Sy
mpt
oms-

 Pai
n

 Tender
ness

 Al
ter
edv
ital
signs

 Fev
er

 Lossofappet
it
e

 Nauseaandv
omi
ti
ng

 Fat
igue

 Thi
rst

 Lowur
ineout
put

 I
nabi
l
ityt
opassst
ool
orgas

Di
agnosi
s-

 Hi
stor
ycol
l
ect
ion

 Phy
sical
exami
nat
ion

 Abdomi
nal
x-r
ay

 Abdomi
nal
ult
rasound
  CTscan

 MRI

Compl
i
cat
ions.
.

 Sepsi
s-Sepsi
sist
hemaj
orcauseofdeat
hfr
om per
it
oni
ti
s.

 Shock-shockmayr
esul
tfr
om sept
icemi
aorhy
pov
olemi
a.

 I
ntest
inal
obst
ruct
ion

Medi
cal
management
..

 Fl
uid-Theadmi
nist
rat
ionofsev
eral
li
ter
sofani
sot
oni
csol
uti
oni
spr
escr
ibed.

 Anal
gesi
cs-Anal
gesi
csar
epr
escr
ibedf
orpai
n.

 Oxygent
herapy-oxy
gent
her
apybynasal
cannul
aormaskgener
all
ypr
omot
esadequat
e
oxy
genati
on.

 Ant
ibi
oti
cther
apy-Ant
ibi
oti
cther
apyi
sini
ti
atedear
lyi
nthet
reat
mentofper
it
oni
ti
s.

Sur
gical
management-

 Exci
sion-sur
gical
treat
menti
sdi
rect
edt
owar
dsexci
sion,
especi
all
yift
heappendi
xis
i
nvol
ved.

 Resect
ion-Resect
ionoft
hei
ntest
inemaybedonewi
thorwi
thoutanast
omosi
s.

 Fecal
div
ersi
on-AFecal
div
ersi
onmayneedt
obecr
eat
edwi
thext
ensi
veSepsi
s.

 I
ntubati
onandsuct
ion-I
ntesti
nali
ntubati
onandsuct
ionassi
sti
nrel
i
evi
ngabdomi
nal
di
stensi
onandinpr
omotingintest
inal
functi
on.

Di
schar
geandhomecar
egui
del
i
nes-

 Educat
ion-Thenurseshoul
deducat
ethepati
entandt
hefami
l
yaboutthecaref
or
i
ncisi
onsanddrai
nsifthepat
ientwi
l
lbesenthomewit
hthedr
ainsst
il
li
nplace.

 Refer
ral-r
efer
ral
forhomecar
emaybei
ndi
cat
edf
orf
urt
hermoni
tor
ingandpat
ientand
famil
yteachi
ng.