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Abdomen
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Skill
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Document: Assessment, Interventions,
Outcomes
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Inspect
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Skin, distention, scars, obesity, herniations, bruising, pulsations.
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Auscultate (before palpate)
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Bowel tones: Hypoactive, every minute; normal, every 15–20 seconds; hyperactive,
every 3
seconds.
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Percussion
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Dullness: Solid organ such as the liver.
Tympany: Hollow organs such as bowels.
Resonance: Air-filled organs such as lungs.
Flatness: Dense tissue such as muscle and bone.
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Palpate (last)
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Pulsations, masses, tenderness, rigidity.
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■ Work
from area of least pain toward area of most pain.
■ Assess
each abdominal quadrant (RUQ, LUQ, RLQ, LLQ).
■ When
documenting assessment findings, always refer to specific abdominal quadrant
related to finding.
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7/7/14
Assessment of Abdomen
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