Large gastric suction losses may occur, and the intestine and peritoneal space may sequester a significant amount of fluid (ascites). Patients presenting with abdominal pain and . Continuously monitor ECG fir dysrhythmias resulting from electrolyte disturbances. Along with oxygenation, organs require nutrients like antioxidants, vitamins, and minerals to function. Prepare patient for possible diagnostic tests. Measure the patients urine specific gravity. The leaked bowel contents may also cause abscess formation leading to an excruciating infection called peritonitis. Fluids are needed to maintain the soft consistency of fecal mass. NURSING CARE PLANS: Diagnoses, Interventions, and Outcomes (8th ed.). The nurse can monitor the vital signs of the patient, especially alterations in the blood pressure and pulse rate which may indicate the presence of bleeding. Spontaneous perforation of the stomach is an uncommon event mainly seen in the neonatal period, the first few days of life, as a cause of pneumoperitoneum. Deficient Knowledge. Management of Patients with Gastric and Duodenal Disorders. Observe output from drains to include color, clarity, and smell. Examine the color, clarity, and smell of drain outflow. Looking for the ultimate guide to Gastroenteritis Nursing Care Plans? Common risk factors include abdominal trauma, acute appendicitis, and peritoneal dialysis. Bowel perforation can increase morbidity and mortality even when treated properly because of post-repair problems such as adhesions and fistula formation. Up to 15% of occurrences of perforation are related to diverticular illness. Teach the patient how to change the dressing aseptically and wound care. Here are four (4) nursing care plans (NCP) and nursing diagnoses for Gastroenteritis: Diarrhea is a common symptom of acute gastroenteritis caused by bacterial, viral, or parasitic infections because these microorganisms can damage the lining of the digestive tract and lead to inflammation, which can cause fluid and electrolytes to leak from the body. The most frequent secondary causes of bowel perforation are inflammation, infection, blockage, trauma, and invasive procedures.
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nursing care plan for gastric perforation