Which of the following is included in initial uroabdomen management?

• A. Drain peritoneal fluid slowly
• B. Place urinary catheter
• C. Provide IV fluids and diuresis
• D. All of the above

Answer: (D)

Initial uroabdomen management centers on stabilizing the patient, protecting kidney function, and reducing ongoing urine leakage into the peritoneal cavity. Providing IV fluids and diuresis supports circulation and helps correct fluid and electrolyte imbalances that result from urine absorption from the peritoneum. Placing a urinary catheter diverts urine away from the rupture, decompresses the bladder, and allows you to monitor urine output accurately, which guides further therapy. Draining the peritoneal fluid gradually removes the accumulated urine and toxins from the abdominal cavity, helping correct electrolyte disturbances and reduce ongoing absorption, while avoiding sudden shifts that could destabilize the patient. Taken together, these steps—fluids with diuresis, catheter drainage, and controlled peritoneal drainage—constitute the initial management approach.