Appendicitis: Vanessa B. Sison BSN Iii
Appendicitis: Vanessa B. Sison BSN Iii
VANESSA B. SISON
BSN III
OBJECTIVES:
At the end of the discussion the
students will be able to:
define terminologies
discuss the management of
appendicitis
DEFINITION OF TERMS
Cecum- the blind pouch at the beginning of the large intistine.
Edematous- an abnormal infiltration and excess
accumulation of serous fluid in connective tissue or in cavity.
Appendectomy- surgical removal of the appendix.
Laparotomy- surgical incision of the abdominal wall.
Abscess- painful area of inflamed tissue that is filled with pus.
Laxative- producing bowel movements and reliving
constipation.
Appendicitis - is the inflammation of the vermiform appendix.
APPENDICITIS
The appendix is a small finger like appendage about
10cm(4in) long that is attached to the cecum just below
the ileocecal valve.
The most common cause of appendicitis is obstruction of
the appendix by fecalith, foreign bodies, or infection.
ASSESSMENT AND
DIAGNOSTIC FINDINGS
abdominal x-ray, ultrasound, and ct scan.
Physical assesment
Blood chem,
CLINICAL
MANIFESTATIONS
1. Acute abdominal pain that usually starts
in the epigastric or umbilical region.
2. Anorexia, nausea and vomiting.
3. Rigid abdomen, guarding.
4. Rebound tenderness
5. Fever and leukocytosis.
6. Decreased or absent of bowel sound.
MEDICAL
MANAGEMENT
Maintain fluid and electrolyte
imbalance, dehydration, antibiotics
and iv fluid.
Immediate surgery is typically
indicated if appendicitis is
diagnosed.
Surgery is immediately perfomed
appendectomy.
COLLABORATIVE
MANAGEMENT
Bed rest.
Maintain NPO.
Relieve pain by cold application over the abdomen.
Avoid factors that increase peristalsis.
heat application over the abdomen
laxative
enema.
NURSING
MANAGEMENT
the client received spinal anesthesia position immediate.
Monitor for return of sensation in the lower extremities.
Maintain NPO until peristalsis return.
If appendicitis ruptured , the client may experience
peritonitis.
To prevent infection.
Mobilization of pen rose drain.