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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Almost all intra-abdominal abscesses require drainage, either by percutaneous catheters or surgery; exceptions include small (< 2 cm) pericolic or periappendiceal abscesses, or abscesses that are draining spontaneously to the skin or into the bowel. Intra-abdominal abscess - Symptoms, diagnosis and treatment - BMJ Antibiotics are not curative but may limit hematogenous spread and should be given before and after intervention. Signs of clearance typically include a decrease in abdominal distention, the passage of flatus or stool, and a decrease in NG tube output. We call it "critical thinking" and it's part of step #2 of the nursing process. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. News & Perspective Drugs & Diseases CME & Education Academy Video . Dis Colon Rectum. Routine culture and susceptibility studies should be performed in patients with perforated appendicitis or other community-acquired intra-abdominal infection if a common community isolate (e.g., Escherichia coli) is resistant to antimicrobials in widespread local use. Exocrine pancreatic insufficiency may also lead to AD due to excessive gas production. Determine the dietary status and sleep pattern of the patient. What is a nursing diagnosis for a patient with acute gastroenteritis and severe dehydration? Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Bowel Perforation Nursing Diagnosis and Nursing Care Plan Symptoms and signs are pain, warmth, rapidly spreading erythema read more (eg, trimethoprim/sulfamethoxazole, clindamycin; for severe infection, vancomycin) pending results of bacterial culture. Risk for Imbalanced Nutrition: Less Than Body Requirements. The routine use of aminoglycosides is not recommended unless there is evidence that the patient harbors resistant organisms. But accurately identifying an abscess requires experience and expertise in abdominal imaging. This will also minimize the patients energy expenditure. Buy on Amazon. The patient will verbalize pain relief, as evidenced by a pain score of less than 3. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse.