Hemoperitoneum and Peritonitis

¡Supera tus tareas y exámenes ahora con Quizwiz!

when would you close an open abdominal drainage post-op?

3-5 days post-op

t/f: patients with hemoabdomen can sometimes be stabilized without the need for surgery

true

t/f: secondary generalized peritonitis requires surgery to fix

true

what diagnostic test would be used to distinguish between peritonitis and hemoperitoneum?

abdominocentesis

what type of bacteria is more common in secondary generalized peritonitis?

gram-negative bacteria usually multiple types of bacteria

what type of bacteria is more common in primary generalized peritonitis?

gram-positive bacteria usually one type of bacteria

what is secondary generalized peritonitis?

inflammation of the peritoneum in conjunction with intraabdominal bacterial leakage

what is primary generalized peritonitis?

inflammation of the peritoneum with no intra-abdominal reason for bacteria leakage

what surgical techniques can be used to diagnose/resolve peritonitis?

- abdominocentesis - diagnostic peritoneal lavage - exploratory - abdominal drainage

what are the goal for treating peritonitis?

- determine cause of infection - resolve infection - restore fluid and electrolytes

what are the clinical signs of hemoperitoneum?

- discoloration of abdomen - abdominal distension - abdominal tenderness - bulging umbilicus

what are the presenting complaints for peritonitis?

- lethargy - anorexia - vomiting and diarrhea - abdominal pain

what is AFAST exam?

Abdominal Focused Assessment with Sonography for Trauma

what drugs should be avoided with hemoabdomen surgeries?

barbiturates and acetylpromazine

t/f: primary generalized peritonitis requires surgery to fix

false

what substance is the most appropriate for peritoneal lavage?

isotonic saline

how might peritonitis appear on a radiograph?

lost abdominal detail "ground glass" appearance

how would peritoneum appear on a radiograph?

lost abdominal detail "ground glass" appearance

what is the number one cause of hemoperitoneum in dogs and cats?

neoplasia

what should be done if you are unable to obtain fluid with an abdominocentesis?

perform a diagnostic peritoneal lavage

what are the primary diagnostic methods used to diagnose hemoperitoneum and peritonitis?

radiographs and ultrasounds

what is hemoperitoneum?

the abnormal accumulation of blood in the abdomen

why should acetylpromazine be avoided in patients with hemoabdomen?

they cause red blood cell sequestration

why should barbiturates be avoided in patients with hemoabdomen?

they cause splenic congestion


Conjuntos de estudio relacionados

Foundation Assessment Endocrine System

View Set

Exercise 19: Cardiovascular Physiology

View Set

French 1-Les Pays et les Nationalités

View Set

Short answer questions and answers

View Set