MS CH 57: Inflammatory Intestinal Disorders Questions and Correct Answers the Latest Update
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Course
Inflammatory Intestinal Disorders
Institution
Inflammatory Intestinal Disorders
peritonitis
- acute inflammation and infection of the visceral/parietal peritoneum and endothelial
linings of the abdomen
- bacterial or chemical contamination
local response of peritonitis
vascular dilation increases capillary permeability to transport WBCs for phagocytosis
to area affe...
MS CH 57: Inflammatory Intestinal
Disorders Questions and Correct
Answers the Latest Update
peritonitis
✓ - acute inflammation and infection of the visceral/parietal peritoneum and endothelial
linings of the abdomen
✓ - bacterial or chemical contamination
local response of peritonitis
✓ vascular dilation increases capillary permeability to transport WBCs for phagocytosis
to area affected; "walls off" the infection
systemic response of peritonitis
✓ if local response fails, inflammation spreads and massive contamination and
widespread peritonitis occurs
cardinal s/s of peritonitis
✓ abdominal rigidity, distention and pain/tenderness**
✓ - pain increases when patient coughs or moves; relief when hips and knees are flexed
✓ - will be lying very still; distention will increase over time until peritonitis is
addressed
✓ - may see decreased bowel sounds x4
as peritonitis progresses...
Examify | Smart Grades | Latest update
✓ - bowel sounds may become faint and disappear
✓ - n/v, anorexia may occur after pain starts
✓ - fever, tachycardia, hypovolemia, dehydration, decreased UO, hiccups
laboratory assessment for peritonitis
✓ - WBC elevated (20k)
✓ - high neutrophil count
✓ - drop in hgb & hct due to perforation
✓ - free air or fluid levels in x-ray (perforation)- flat plate
how to restore fluid volume balance in a pt with peritonitis
✓ - expect frequent changes in IV fluid type and rate (start w/ hypertonic solution)
✓ - monitor resp status (any crackles, wheezes, etc.)
✓ - daily weights, strict I&O
✓ - NPO, maintain NGT to decompress stomach
✓ - measure & record fluid used to irrigate abdominal wounds and measure drainage
(retention of fluids can increase distention and discomfort)
pain goal for patient with peritonitis
✓ less than or equal to 3/10
complications of peritonitis
✓ - septic shock (tachypnea, decreased pulse pressure, tachycardia, hypotension, BP <
90, alterations in LOC, monitor O2 sats want >94%)
✓ - hypovolemic shock
✓ - AKI
Examify | Smart Grades | Latest update
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