Appendicitis
Appendicitis
s
Prepared by:
Rahma Al sharif
Batool Mohammad
Supervised by:
Dr. Amna Aboelmagd
Introduction
Appendicitis is a common
medical emergency
characterized by
inflammation of the
appendix, a small, tube-like
structure attached to the
large intestine. Prompt
recognition and treatment
are crucial to prevent serious
complications.
Definition of Appendicitis
Appendicitis refers to the
inflammation of the vermiform
appendix, a finger-shaped pouch
projecting from the cecum in the
lower right abdomen. This
condition typically results from
obstruction within the appendix,
leading to bacterial overgrowth and
subsequent inflammation.
Types of Appendicitis
● Acute appendicitis: Acute
appendicitis is a condition with a
severe and sudden onset of
inflammation in which pain tends
to develop quickly over a period
of 24 hours
● Chronic appendicitis: Chronic
appendicitis is a condition where
the symptoms reappear over a
period of weeks, months, or
years.
Complications
If left untreated, appendicitis can lead to severe
complications, including:
● Perforation: A ruptured appendix can spill
infectious materials into the abdominal cavity,
leading to peritonitis, a life-threatening
inflammation of the abdominal lining.
● Abscess Formation: A pocket of pus may form
around the appendix, requiring drainage.
● Sepsis: The spread of infection into the
bloodstream, leading to systemic inflammation and
potentially fatal outcome
Treatment
The standard treatment for appendicitis is surgical removal
of the appendix, known as an appendectomy. This can be
performed using:
● Laparoscopic Surgery: A minimally invasive approach
involving small incisions and the use of a camera.
● Open Surgery: In cases where the appendix has
ruptured or other complications are present, a larger
incision may be necessary.
In certain situations, antibiotics may be administered prior
to surgery, especially if an abscess is present. However,
surgery remains the definitive treatment to prevent
recurrence.
Nursing Process: Assessment
● Vital Signs Monitoring:
○ Regularly check temperature, heart rate, blood
pressure, and respiratory rate to detect signs of
infection or deterioration.
● Pain Assessment:
○ Evaluate the location, intensity, and characteristics of
abdominal pain.
● Gastrointestinal Assessment:
○ Monitor for nausea, vomiting, bowel sounds, and
changes in bowel habits.
Nursing Process: Diagnosis
● Acute Pain:
○ Related to inflammation of the
appendix.
● Risk for Infection:
○ Due to potential rupture and
peritonitis.
● Anxiety:
● Pain Management:
○ The patient will report reduced pain levels within a
specified timeframe.
● Infection Prevention:
○ The patient will remain free from signs of infection
postoperatively.
● Anxiety Reduction:
○ The patient will verbalize reduced anxiety levels after
receiving information and support.
Nursing Process: Interventions