For a patient with a sustained intra-abdominal pressure (IAP) of 23, which treatment should the nurse anticipate?

A sustained intra-abdominal pressure (IAP) of 23 mmHg indicates intra-abdominal hypertension, which can lead to abdominal compartment syndrome and jeopardize organ function. Abdominal decompression is the most effective treatment for alleviating elevated IAP. This procedure may entail surgical intervention or, in some cases, less invasive methods, but the goal is to relieve the pressure within the abdominal cavity to restore normal organ perfusion and function.

While fluid resuscitation, antibiotic therapy, and nutritional support are important components of overall patient management in critical care, they do not directly address the acute issue of elevated IAP. Fluid resuscitation might be necessary if the patient is in hypovolemic shock, antibiotics are critical for treating infections, and nutritional support is vital for recovery and maintaining the patient’s nutritional status. However, addressing the high IAP through decompression is the immediate priority to prevent further complications and protect organ function.