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학습 자료 둘러보기 →The immediate preoperative priority is to assess for signs of peritonitis, a lethal complication of gallbladder perforation. A rigid, board-like abdomen with rebound tenderness requires immediate surgeon notification, as it may necessitate an open laparotomy instead of a laparoscopic approach.
Perform a focused abdominal assessment, palpating gently to avoid causing further injury. Look for involuntary guarding and pain with percussion, which indicate peritoneal irritation. This assessment is the final safety check before anesthesia.
Do not delay the assessment for pain management or routine vital signs. A finding of peritonitis is a surgical emergency that changes the entire care plan and must be communicated immediately.
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