Peritonitis — Uganda (General Adult population)
Initial Treatment before referral
Put up IV drip (Normal saline/Ringer’s lactate: 1 L every 1-2 hrs until BP normal, then 1 L every 4-6 hrs). Nil by mouth. Pass NGT and start suction. Oxygen if hypoxic.
Pain Control
Pethidine 50 mg IM/IV (Child: 0.5-2 mg/kg) OR Morphine 5-15 mg IV/IM/SC. AVOID NSAIDs.
Suspected Bacterial Infection
Minimum 7-day course: Ceftriaxone 1-2 g IV once daily (Child: 50 mg/kg) PLUS gentamicin 7 mg/kg IV daily (Child: 2.5 mg/kg 8-hourly) PLUS metronidazole 500 mg IV infusion 8-hourly.
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