APPENDICITIS, PERITONITIS EXAM
QUESTIONS AND ANSWERS
primary peritonitis - Answer-bacterial infection that develops from contamination of
peritoneum through vascular system
secondary peritonitis - Answer-bacterial invasion as a result of PERFORATION or
PENETRATING WOUND (appendicitis, diverticulitis, peptic ulcer, ascending genitla
infection, gunshot injury to abd)
clinical manifestations of peritonitis - Answer-• Rigid boardlike abdomen
• abdominal pain
• distended abdomen
• high fever
• tachycardia
• dehydration
• low urine output
• hiccups
• compromised respiratory status
• nausea and vomiting
• inability to pass gas or feces
cardinal signs of peritonitis - Answer-abdominal pain and tenderness
nonsurgical management of peritonitis - Answer-1. administer IV fluids and antibiotics
2. monitor daily weight
3. record intake and output
4. KEEP PT ON NPO
5. monitor/record drainage from nasogastric tube used for gastric and intestinal
decompression
6. pain management with IV analgesics; anticipate use of PCA pump
7. adm oxygen according to respirator status
surgical management of peritonitis - Answer-1. abd surgery to identify and repair cause
of peritonitis
2. surgery focused on controlling contamination, removing foreign material from
peritoneal cavity and draining fluid collections
LAPAROTOMY or laprascopy used to remove or repair inflamed/ perforated organ
3. peritoneum irrigated with antibiotic solution during surgery and drainage catheter
inserted
4. post op care- monitor cardiovascular stability for detection of shock, provide wound
care, irrigate and pack wound, assist pt to increase activity level
QUESTIONS AND ANSWERS
primary peritonitis - Answer-bacterial infection that develops from contamination of
peritoneum through vascular system
secondary peritonitis - Answer-bacterial invasion as a result of PERFORATION or
PENETRATING WOUND (appendicitis, diverticulitis, peptic ulcer, ascending genitla
infection, gunshot injury to abd)
clinical manifestations of peritonitis - Answer-• Rigid boardlike abdomen
• abdominal pain
• distended abdomen
• high fever
• tachycardia
• dehydration
• low urine output
• hiccups
• compromised respiratory status
• nausea and vomiting
• inability to pass gas or feces
cardinal signs of peritonitis - Answer-abdominal pain and tenderness
nonsurgical management of peritonitis - Answer-1. administer IV fluids and antibiotics
2. monitor daily weight
3. record intake and output
4. KEEP PT ON NPO
5. monitor/record drainage from nasogastric tube used for gastric and intestinal
decompression
6. pain management with IV analgesics; anticipate use of PCA pump
7. adm oxygen according to respirator status
surgical management of peritonitis - Answer-1. abd surgery to identify and repair cause
of peritonitis
2. surgery focused on controlling contamination, removing foreign material from
peritoneal cavity and draining fluid collections
LAPAROTOMY or laprascopy used to remove or repair inflamed/ perforated organ
3. peritoneum irrigated with antibiotic solution during surgery and drainage catheter
inserted
4. post op care- monitor cardiovascular stability for detection of shock, provide wound
care, irrigate and pack wound, assist pt to increase activity level
