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    INTRA ABl Abscess-Case Study

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    pinez
    Intra-abdominal abscesses are localized collections of pus confined in the abdominal cavity by inflammatory barriers, and are usually caused by perforations or infections of the gastrointestinal tract or adjacent organs leading to a mixture of aerobic and anaerobic bacteria. Common symptoms include swelling, bloating, lack of appetite, nausea, vomiting, and rectal tenderness. Treatment involves draining the abscess, administering antibiotics, managing pain, and preventing complications such as recurrent abscesses or spread of the infection.

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    INTRA ABl Abscess-Case Study

    Uploaded by

    pinez
    382 views15 pages
    Intra-abdominal abscesses are localized collections of pus confined in the abdominal cavity by inflammatory barriers, and are usually caused by perforations or infections of the gastrointestinal tract or adjacent organs leading to a mixture of aerobic and anaerobic bacteria. Common symptoms include swelling, bloating, lack of appetite, nausea, vomiting, and rectal tenderness. Treatment involves draining the abscess, administering antibiotics, managing pain, and preventing complications such as recurrent abscesses or spread of the infection.

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    Intra-abdominal abscesses are localized collections of pus confined in the abdominal cavity by inflammatory barriers, and are usually caused by perforations or infections of the gastrointestinal tract or adjacent organs leading to a mixture of aerobic and anaerobic bacteria. Common symptoms include swelling, bloating, lack of appetite, nausea, vomiting, and rectal tenderness. Treatment involves draining the abscess, administering antibiotics, managing pain, and preventing complications such as recurrent abscesses or spread of the infection.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    382 views15 pages

    INTRA ABl Abscess-Case Study

    Uploaded by

    pinez
    Intra-abdominal abscesses are localized collections of pus confined in the abdominal cavity by inflammatory barriers, and are usually caused by perforations or infections of the gastrointestinal tract or adjacent organs leading to a mixture of aerobic and anaerobic bacteria. Common symptoms include swelling, bloating, lack of appetite, nausea, vomiting, and rectal tenderness. Treatment involves draining the abscess, administering antibiotics, managing pain, and preventing complications such as recurrent abscesses or spread of the infection.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 15

    INTRA-Abdominal abscess

    Definition

    Intra-abdominal abscesses are localized collections of pus that are


    confined in the peritoneal cavity by an inflammatory barrier. This barrier
    may include the omentum, inflammatory adhesions, or contiguous
    viscera. The abscesses usually contain a mixture of aerobic and anaerobic
    bacteria from the GI tract.
    Although multiple causes of intra-abdominal abscesses exist, the following
    are the most common: (1) perforation of a diseased viscus, which includes
    peptic ulcer perforation, (2) perforated appendicitis and diverticulitis, (3)
    gangrenous cholecystitis, (4) mesenteric ischemia with bowel infarction,
    and (5) pancreatitis or pancreatic necrosis progressing to pancreatic
    abscess. Microbiology includes a mixture of aerobic and anaerobic
    organisms.

    S/S
    -swelling
    -bloating
    -lack of appetite
    -nausea
    -vomiting
    -rectal tenderness/fullness
    -diarrhea

    Nursing interventions

    -empty and irrigate drain as ordered


    -provide pain medication as ordered on a routine basis
    - provide non-medication comfort measures in nursing scope of practice
    -practice good hand hygiene before and after working with patient

    Complications

    Complications include recurrent abscesses, spontaneous rupture of an


    abscess, and occasionally, spread of the infection to the blood stream and
    widespread infection.
    Name: Patient X Age: 1 Gender: Female Birthday:
    September 09, 2008

    Address: Balagtas Orion Bataan Nationality: Filipino Religion:


    Catholic

    Date admitted: September 24, 2009 4:45 pm Attending Physician: Dr.


    Lopez

    Nursing History

    A. History of present illness:The mother said that her daughter


    which is the patient had a recurrent fever
    for 3about a week, that’s why she decided
    to bring her daughter to the hospital.

    B. Past Health History:


    1. Childhood illness: The patient had measles when she was
    eight month old . Sometimes she’s having
    coughs , colds and fever, other than that
    there were no illnesses experienced

    2. Vaccination: The mother said that her daughter


    completed
    all vaccinations.

    3. Allergies: The patient had an allergy on cold


    environment or cold foods. When she was
    exposed to these cold things, redness
    appearance of the skin occur.

    4. Accidents: There were no accidents happened to the


    patient as a confirmation by her mother.

    5. Hospitalizations: The patient was no hospitalization said by


    her mother since now.

    6. Medications used or
    Currently taking: As of now, based on the Hospital record, the
    Doctor ordered to gave her Cefazolin 250
    mg IV q 8 hours ANST & Metronidazole 125
    mg IV q 8 hours ANST.

    7. Foreign Travel: The patient is not yet traveled abroad as the


    mother said.

    C. Family History The patient’s parents said that there


    were no reported or known issue of
    diseases on both sides of their families
    Activities of Daily Living

    ADL Before Illness During Illness


    Interpretation

    1. Nutrition:The patients has a big The Doctor ordered Intra-


    abdominal
    appetite. She is frequently Milk feeding diet abcess
    breast fed by her mother because she’s being
    ↓
    she likes to eat rice meals prepared for for
    CT scan two times a day.
    Diagnostic test. ↓

    restriction of

    diet(M/F)

    ↓
    Impaired nutrition

    2. Elimination
    She has a regular bowel She took her bowel
    Restricted diet
    Movement of once every movement of once
    ↓
    day. every 2 days.
    ↓fiber intake

    Constipation

    3. Exercise
    The patient always like She cant walk Keep
    rested
    to walk . because of limited
    ↓
    movement .
    Activity intolernce
    4. Hygiene
    Took a bath once a Only TSB is
    Always on bed
    day. done
    ↓

    Limited way

    to take a bath

    Poor hygiene

    5.Substance Use NO SUBTANCE USED REPORTED

    6. Sleep & Rest


    She slept 8-10 hrs a day Disturbed
    Hospital env.
    sleeping pattern
    uncomfortability

    Prolonged hour

    w/o sleep
    ↓

    Sleep deprivation
    BODY NORMAL FINDINGS INTERPRETATION
    PARTS

    A. Head Rounded Normal


    Skull Rounded smooth
    smooth Skull contour.
    Skull contour. Smooth,
    Smooth, uniform
    uniform Consistency,
    Consistency, Absence of
    Absence of nodules
    nodules or masses
    or masses
    Scalp White, clean, Always on bed
    free ↓
    From oily Limited way to take a bath
    masses,lumps, ↓
    scars, lice, Poor hygiene
    Nits, dandruff
    and
    Lesions, no
    areas of
    Tenderness
    Hair Normal hair is Normal hair is Normal
    Evenly Evenly
    distributed, distributed,
    Thick, silky, Thin, silky,
    resilent Hair. resilent Hair.
    Amount of hair Amount of hair is
    is variable, variable, coarse
    Or fine.
    coarse Or
    fine.
    Face Symmetrical Eyes aligned Normal
    facial and
    movement symmetrical

    Eyes Eyes should be Eyes aligned Normal


    Aligned, and
    Symmetrical symmetrical
    Eyebrows Hair evenly Normal
    Distributed,
    skin
    Intact.
    Eyebrows
    Symmetrically
    Aligned, equal
    Movement
    Eyelashes Equally Equally Normal
    distributed distributed
    Curled slightly Curled slightly
    Outward. Outward
    Eyelids Skin intact, no Skin intact, no Normal
    Discharged, no Discharged, no
    Discoloration discoloration
    PATHOPHYSIOLOGY

    INTRA-ABDOMINAL ABSCESS
    UNKNOWN

    DIAGNOSTIC TEST
    EXPLORATORY
    LAPAROTOMY

    ULTRASOUND/CT SCAN
    ↓
    LIVER ABSCESS
    ↓ ↓
    ENTAMOEBA HYSTOLIITICA PYOGENIC LIVER
    ASCESS
    ↓ ↓
    AMEBIC LIVER ABSCESS ADMINISTRATION
    OF
    ↓ ANTIBACTERIAL
    DRUGS
    ADMINISTRATION OF ↓
    AMEBICIDAL DRUG CEFAZOLIN
    ↓ (250 MG IV q8 ANST)
    METRONIDAZOLE
    (125 MG IV q8 ANST)
    _________________________________
    ↓
    IF NOT EFFECTIVE
    ↓
    REQUIRED OPEN
    SURGICAL DRAINAGE
    INTRODUCTION
    BIOGRAPHIC
    DATA

    PATHOPHYSIOLOGY
    ACTIVITIES
    OF
    DAILY
    LIVING
    PHYSICAL
    ASSESSMENT

    ANATOMY
    &
    PHYSIOLOGY

    N.C.P.
    DRUG

    STUDY
    DISCHARGE

    PLANNING

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