About
Collection of fluid in the peritoneal space usually as a result of liver disease.
Assess
Fluid volume excess, weight gain, fluid filled abdomen, able to palpate waves on abdomen if pressing one side to the other, shortness of breath, pain
Complications
Portal systemic hypertension
Spontaneous bacterial peritonitis
Discomfort, dyspnea
Diagnosis
- Imbalanced nutrition: less than body requirements related to loss of appetite
- Impaired comfort related to large abdominal girth
- Ineffective breathing pattern related to excessive abdominal pressure
Goals
- The client will have a decrease in fluid accumulation in abdomen.
- The client will have a normal or near normal blood pressure.
Interventions
- Monitor fluid balance, vital signs, pulse oximetry, intakes/ outputs, daily weight, and electrolytes.
- Measure abdominal girth every morning using the same marks around the largest part of the abdomen. Monitor for increases in fluid.
- Implement a low-sodium diet.
- Administer diuretics as ordered.
- Assist with procedures ( paracentesis) as indicated.
- Monitor for signs/ symptoms of complications.
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