Abdominal trauma refers to injuries sustained to the abdomen, which is the area between the chest and the pelvis. The abdomen contains various organs, including the liver, spleen, kidneys, and intestines. Trauma to this region can result from various causes, such as blunt force, penetrating injuries, or internal injuries due to rapid deceleration or compression.

1. ABDOMINAL
BLUNT TRAUMA
• PRESENTED BY
• MOUMITA MAITY
• M.SC NURSING PART II

5. • Trauma-
• Trauma refers to physical injuries or wounds that result from
accidents, violence, or other external forces. Trauma can affect various
parts of the body and may range from mild to severe. Trauma is a
significant cause of morbidity and mortality worldwide, and it can lead
to various medical emergencies.

9. Clinical presentation-

15. MANAGEMENT-
1.Primary survey
2.Stabilize
3.Secondary survey
4.Imaging studies
5.Monitoring
6.Pain management
7.Surgical intervention
8.Ivf & blood transfusion
9.Antibiotics

17. Management of patient-
Anti-inflammatory-
Inj. Dexamethasone (4 mg IV)- provides relief for inflamed areas of the body
Pain Management:
Inj. Dinapar( 38 mg IM)- to reduce pain and inflammation
Inj. PCM (350 mg IV TDS)- to reduce pain
Antibiotics:
Inj. Meropenem( 1gm IV TDS)
Inj. Amikacin 500mg IV OD
Inj. Metrogyl 500 mg IV TDS
Histamine-2 blockers: (It works by reducing the amount of acid stomach produces.)
Inj. Rantac 20 mg IV BD
Serotonin 5-HT3 receptor antagonists:( It works by blocking the action of serotonin)
Inj. Ondem 4 mg IV TDS
RT continuous suction

19. Complications-
Internal Organ Injuries
Hemoperitoneum:
Solid Organ Damage
Hollow Viscus Injury
Abdominal Compartment Syndrome:
Pelvic Fractures
Spinal Injuries
Bladder or Urethral Injury
Adhesive Bowel Obstruction
Intra-Abdominal Infections
Delayed Complications
Psychological Impact

20. Nursing management-
1.Impaired Gas Exchange related to pain or oxygen deprivation
as evidenced by respiratory distress.
2. Ineffective Tissue Perfusion related to hemorrhage or
decreased cardiac output as evidenced by poor perfusion.
3. Acute Pain related to abdominal injury and surgical
interventions as evidenced by facial expression of the child
and nagging behavior.

21. 4. Fluid and electrolyte imbalance related to blood loss
secondary to trauma as evidenced by decrease urine output.
5.Imbalance nutrition less than body requirements related to
surgical intervention as evidenced by anorexia.
6. Knowledge deficit related to disease process as evidence by
mother asking questions, anxiety of mother.

22. Full form
of FAST?