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M37 perforated viscus. POD3 for exploratory laparoscopy, repair of…
M37 perforated viscus. POD3 for exploratory laparoscopy, repair of perforated rectum, incidental appendectomy
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Intake presentation: Abdominal pain in RLQ, blood in stools, dysuria, no nausea or vomiting
Concepts
Elimination: reduced elimination common following abdominal surgery; repair of perforated rectum may be impacted by straining. Monitor for return and ease of bowel function
Infection: high risk of infection following abdominal surgery due to bowel microbiota, reduced nutrition, reduced elimination, impaired immunity.
Wound care/inflammation: Honeycomb dressing remains in place for up to 3 weeks - monitor for leakage, loose dressing, inflammation, signs of infection
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