Careplan for acute abdomen perfusion

[lnxyourxeyez]

Hello. I am having some trouble with my careplan.

So I have a patient that came in for laparoscopic cholecystectomy, a week later the patient was readmitted for peritonitis - they did a CT scan and found a small-bowel injury that mustve occurred during the laparoscopic cholecystectomy. They did a small bowel resection and an anastomosis. The patients leukocytes were high so they did a second CT scan and it showed residual fluid collection and air bubbles under the diaphragm and pelvic cavity.

She has 3 drains right now, still having drainage.

I thought Fluid Volume Deficit, but are there any other diagnosis ?

Also, what are the most IMPORTANT things to assess / intervene for this patient?

Sorry I'm kind of new to this and I want to expand my brain and think as much as possible but I'm having a brain cramp

[Levitas, BSN, RN]

There are always the basics that will likely apply to most patients.

Risk of Injury

Knowledge Deficit

Ability to return to previous living arrangements

Some others that could apply to your patient:

Infection

Risk of infection

Nutritional deficit

Alteration of comfort

Are you at work now? We usually have to complete a care plan on admission, and our admission has to be done within 24 hours of the patient hitting the floor (started within 4 hours). I don't know how it is at your facility, but at ours, we can start a care plan, and any RN can go in, and edit/add/remove as needed at a later time.