Medically the review by Carissa Stephens, R.N., CCRN, CPN — composed by Ann Pietrangelo — update on September 29, 2018

What is peritonitis?

Peritonitis is inflammation the the peritoneum, the slim layer the tissue covering the inside of your abdomen and also most that its organs. The inflammation is commonly the result of a fungal or bacterial infection. This can be brought about by an abdominal injury, an underlying clinical condition, or a treatment device, such as a dialysis catheter or feeding tube.

You are watching: Which of the following would a nurse expect to assess in a client with peritonitis?

Peritonitis is a serious problem that needs prompt medical attention. Note intravenous (IV) antibiotics are necessary to law the infection. Surgical treatment is sometimes crucial to eliminate infected tissue. The infection can spread and also become life-threatening if it isn’t treated promptly.


There room two types of peritonitis. Spontaneous bacter peritonitis (SBP) is the an outcome of an epidemic of the liquid in her peritoneal cavity. Kidney or liver failure can cause this condition. World on peritoneal dialysis because that kidney fail are additionally at increased risk for SBP.

Secondary peritonitis is usually because of an infection that has actually spread from her digestive tract.

The following problems can result in peritonitis:


Symptoms will vary relying on the underlying cause of her infection. Typical symptoms that peritonitis include:

If she on peritoneal dialysis, your dialysis liquid may appear cloudy or have actually white flecks or clumps in it. You may also notice redness or feeling pain approximately your catheter.


If you have symptoms of peritonitis, seek clinical attention best away. Delaying her treatment could put your life in ~ risk.

Your medical professional will asking you about your medical history and do a complete physical exam. This will incorporate touching or pressing on her abdomen, which will certainly probably cause some discomfort.

Several other tests can help your physician diagnose peritonitis:

If you’re on dialysis, your doctor might diagnose peritonitis based on the illustration of cloudy dialysis fluid.


The first step in dealing with peritonitis is identify its basic cause. Therapy usually involves antibiotics come fight infection and medication for pain.

If you have actually infected bowels, one abscess, or one inflamed appendix, you might need surgery to remove the infected tissue.

If she on kidney dialysis and also have peritonitis, friend may need to wait until the infection gets rid of up to receive much more dialysis. If the epidemic continues, you can need to switch to a different type of dialysis.

Your treatment must begin promptly to avoid serious and potentially fatal complications.


If it’s no treated promptly, the infection may go into your bloodstream, leading to shock and damage come your various other organs. This have the right to be fatal.

The potential symptom of spontaneous peritonitis include:

The symptom of secondary peritonitis include:

an intra-abdominal abscess

If you’re on dialysis, wash her hands and also fingernails before touching your catheter. Clean the skin about the catheter daily. Follow her doctor’s instructions regarding the care and also storage of your medical supplies.

See more: 078 As A Fraction

If you have severe abdominal muscle pain or an ab injury, such together a knife wound, take one of the adhering to actions:

see her doctorgo come an emergency roomcall 911 or your local emergency services

The outlook for peritonitis relies on the cause of your infection and how much it progressed prior to treatment began. Medications and surgery space usually may be to lug the epidemic under control.

If treatment doesn’t start early, the infection can spread. If other organs are damaged, her recovery will count on your in its entirety health and how much damages was done.


*

Medically the review by Carissa Stephens, R.N., CCRN, CPN — written by Ann Pietrangelo — updated on September 29, 2018