Certainly! Here are five nursing care plans for patients with peritonitis:
Acute Pain related to inflammation of the peritoneum:
Assess the patient’s pain level using appropriate pain assessment tools.
Administer analgesic medications as prescribed to alleviate pain and discomfort.
Utilize non-pharmacological pain management techniques such as positioning, relaxation techniques, and heat therapy.
Monitor the patient’s response to pain management interventions and adjust the plan as needed.
Educate the patient on the importance of pain management and encourage communication regarding pain levels.
Risk for Infection related to bacterial contamination of the peritoneal cavity:
Monitor the patient for signs and symptoms of infection such as fever, chills, elevated white blood cell count, and abdominal tenderness.
Assess peritoneal access sites for signs of infection, including redness, swelling, warmth, and purulent drainage.
Administer antimicrobial medications as prescribed to treat or prevent infection.
Implement strict aseptic technique during peritoneal dialysis procedures to prevent bacterial contamination.
Educate the patient and caregivers on proper hand hygiene and infection prevention measures.
Impaired Gas Exchange related to abdominal distension and decreased diaphragmatic excursion:
Monitor the patient’s respiratory status including respiratory rate, depth, and effort.
Assess lung sounds and oxygen saturation levels.
Encourage the patient to practice deep breathing exercises and coughing to promote lung expansion and secretion clearance.
Position the patient in semi-Fowler’s position to facilitate lung ventilation.
Collaborate with the healthcare team to address underlying causes contributing to impaired gas exchange such as abdominal distension or fluid accumulation.
Deficient Fluid Volume related to fluid shifts into the peritoneal cavity:
Monitor the patient’s fluid balance including intake and output, daily weights, and signs of dehydration or fluid overload.
Administer intravenous fluids as prescribed to maintain hydration and prevent hypovolemia.
Monitor electrolyte levels and adjust fluid therapy as needed to maintain balance.
Collaborate with the healthcare team to address underlying causes of fluid shifts such as peritoneal dialysis complications or gastrointestinal perforation.
Educate the patient on the importance of fluid balance and adherence to prescribed fluid restrictions.
Nutrition: Imbalanced, less than body requirements related to nausea, vomiting, and decreased oral intake:
Assess the patient’s nutritional status, dietary intake, and gastrointestinal symptoms.
Provide small, frequent meals that are easy to digest and tolerate.
Offer nutritional supplements or enteral nutrition as needed to meet caloric and nutrient needs.
Monitor for signs of malnutrition or weight loss and adjust the nutrition plan as needed.
Collaborate with a dietitian to develop an individualized nutrition plan that meets the patient’s needs and preferences.
These nursing care plans aim to address the specific needs of patients with peritonitis, focusing on pain management, infection prevention, gas exchange, fluid balance, and nutrition, with the goal of promoting comfort, safety, and overall well-being.