Treatments for Watermelon stomach
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Abdominal distention:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If the patient displays abdominal distention, quickly check for signs of hypovolemia, such as pallor, diaphoresis, hypotension, a rapid thready pulse, rapid shallow breathing, decreased urine output, and altered mentation. Ask the patient if he’s experiencing severe abdominal pain or difficulty breathing. Find out about any recent accidents, and observe him for signs of trauma and peritoneal bleeding, such as Cullen’s sign or Turner’s sign. Then auscultate all abdominal quadrants, noting rapid and high-pitched, diminished, or absent bowel sounds. (If you don’t hear bowel sounds immediately, listen for at least 5 minutes in each of the four abdominal quadrants.) Gently palpate the abdomen for rigidity. Remember that deep or extensive palpation may increase pain.
If you detect abdominal distention and rigidity along with abnormal bowel sounds and if the patient complains of pain, begin emergency interventions. Place the patient in the supine position, administer oxygen, and insert an I.V. line for fluid replacement. Prepare to insert a nasogastric tube to relieve acute intraluminal distention. Reassure the patient and prepare him for surgery.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Abdominal distention:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the patient displays abdominal distention, quickly check for signs of hypovolemia, such as pallor, diaphoresis, hypotension, rapid and thready pulse, rapid and shallow breathing, decreased urine output, poor capillary refill, and altered mentation. Ask the patient if he’s experiencing severe abdominal pain or difficulty breathing. Find out about any recent accidents, and observe the patient for signs of trauma and peritoneal bleeding, such as Cullen’s sign or Turner’s sign. Then auscultate all abdominal quadrants, noting rapid and high-pitched, diminished, or absent bowel sounds. (If you don’t hear bowel sounds immediately, listen for at least 5 minutes.) Gently palpate the abdomen for rigidity. Remember that deep or extensive palpation may increase pain.
If you detect abdominal distention and rigidity along with abnormal bowel sounds, and the patient complains of pain, begin emergency interventions. Place the patient in the supine position, administer oxygen, and insert an I.V. line for fluid replacement. Prepare to insert a nasogastric tube to relieve acute intraluminal distention. Reassure the patient and prepare him for surgery.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Abdominal distention:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the patient displays abdominal distention, quickly check for signs of hypovolemia, such as pallor; diaphoresis; hypotension; rapid, thready pulse; rapid, shallow breathing; decreased urine output; poor capillary refill; and altered mentation. Ask the patient if he’s experiencing severe abdominal pain or difficulty breathing. Find out about any recent accidents, and observe the patient for signs of trauma and peritoneal bleeding, such as Cullen’s sign or Turner’s sign. Then auscultate all abdominal quadrants, noting rapid and high-pitched, diminished, or absent bowel sounds. (If you don’t hear bowel sounds immediately, listen for at least 5 minutes.) Gently palpate the abdomen for rigidity. Remember that deep or extensive palpation may increase pain.
If you detect abdominal distention and rigidity along with abnormal bowel sounds and the patient complains of pain, begin emergency interventions. Place the patient in the supine position, administer oxygen, and insert an I.V. line for fluid replacement. Prepare to insert a nasogastric tube to relieve acute intraluminal distention. Reassure the patient, and prepare him for surgery.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Abdominal distention:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Position the patient comfortably, using pillows for support.
▪ If the patient has flatus, place him on his left side to help flatus escape.
▪ If the patient has ascites, elevate the head of the bed to ease his breathing.
▪ Insert a nasogastric tube for bowel compression; monitor amount and type of drainage.
▪ Administer drugs to relieve pain, and offer emotional support.
▪ Prepare the patient for diagnostic tests, such as abdominal X-rays, endoscopy, laparoscopy, ultrasonography, computed tomography scan or, possibly, paracentesis.
▪ Prepare the patient for surgery, if indicated.
Patient teaching
▪ Teach the patient to use slow deep breathing to help relieve abdominal discomfort.
▪ If the patient has an obstruction or ascites, tell him which foods and fluids to avoid.
▪ Emphasize the importance of oral hygiene to prevent dry mouth.
▪ Explain the underlying disorder and treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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