Peritonitis is an inflammation of the peritoneum, typically caused by infection, and it can lead to severe complications. When formulating nursing diagnoses for a patient with peritonitis, consider both the medical condition and the potential complications. Here are several nursing diagnoses that may be appropriate for a patient with peritonitis:
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Acute Pain related to inflammation and infection of the peritoneum as evidenced by patient reports of abdominal pain and tenderness.
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Risk for Infection related to the underlying cause of peritonitis and potential for sepsis.
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Fluid Volume Deficit related to third-spacing of fluids and/or decreased oral intake due to nausea and pain, as evidenced by changes in vital signs (e.g., hypotension, tachycardia) or dry mucous membranes.
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Impaired Gas Exchange related to abdominal distention and potential respiratory compromise due to pain or ileus, as evidenced by altered respiratory rate or pattern.
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Ineffective Coping related to the stress of the diagnosis and treatment of a serious health condition, as evidenced by verbalization of anxiety, fear, or inability to participate in care.
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Altered Nutrition: Less than body requirements related to nausea, pain, and potential surgical interventions affecting intake, as evidenced by weight loss or decreased appetite.
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Knowledge Deficit related to peritonitis, its causes, treatment options, and post-operative care, as evidenced by the patient's questions or misinformation.
Each nursing diagnosis should be tailored to the individual patient's situation, and the nursing care plan should include appropriate interventions for each diagnosis along with expected outcomes. Collaborating with the healthcare team and educating the patient and family on the condition and care needs is also essential.