APPENDICITIS

DEFINITION

•INFLAMMATION OF THE APPENDIX,

USUALLY ASSOCIATED WITH INFECTION
OF THE APPENDIX. APPENDICITIS OFTEN
CAUSES FEVER, LOSS OF APPETITE, AND
PAIN.
 SIGNS AND SYMPTOMS

• SUDDEN PAIN THAT BEGINS ON THE RIGHT SIDE

OF THE LOWER ABDOMEN
• SUDDEN PAIN THAT BEGINS AROUND YOUR
NAVEL AND OFTEN SHIFTS TO YOUR LOWER
RIGHT ABDOMEN
• PAIN THAT WORSENS IF YOU COUGH, WALK OR
MAKE OTHER JARRING MOVEMENTS
• NAUSEA AND VOMITING
• LOSS OF APPETITE
• LOW-GRADE FEVER THAT MAY WORSEN AS THE
ILLNESS PROGRESSES
• CONSTIPATION OR DIARRHEA
• ABDOMINAL BLOATING
 DIAGNOSIS
• CBC
• C-REACTIVE PROTEIN (CRP)
• LIVER AND PANCREATIC FUNCTION TESTS
• URINALYSIS (FOR DIFFERENTIATING
APPENDICITIS FROM URINARY TRACT
CONDITIONS)
 COMPLICATIONS

• A RUPTURED APPENDIX. A RUPTURE SPREADS INFECTION

THROUGHOUT YOUR ABDOMEN (PERITONITIS). POSSIBLY LIFE-
THREATENING, THIS CONDITION REQUIRES IMMEDIATE SURGERY TO
REMOVE THE APPENDIX AND CLEAN YOUR ABDOMINAL CAVITY.
• A POCKET OF PUS THAT FORMS IN THE ABDOMEN. IF YOUR
APPENDIX BURSTS, YOU MAY DEVELOP A POCKET OF INFECTION
(ABSCESS)
 PREVENTION
• INCLUDING A BOUNTY OF FRESH, FIBER-RICH
VEGETABLES AND FRUITS INTO YOUR MEALS IS A
WONDERFUL PREVENTION STRATEGY
AGAINST APPENDICITIS. ...
• EATING A HIGH-SOLUBLE FIBER DIET ALSO
REDUCES YOUR RISK OF PREMATURE DEATH FROM
ANY CAUSE, AS IT HELPS WARD OFF A NUMBER OF
CHRONIC DISEASES.
 NURSING DIAGNOSES
• HIGH RISK OF INFECTION RELATED TO AN
INADEQUATE PRIMARY
DEFENSES,PERFORATION,PERITONITIS
SECONDARY TO INFLAMMATORY
PROCESSES
• PAIN ASSOCIATED WITH DISTENTION OF
INTESTINAL TISSUE BY INFLAMMATION, A
SURGICAL INCISION
 NURSING INTERVENTIONS

• ASSESS PAIN. RECORD THE LOCATION,

CHARACTERISTICS OF PAIN.
• KEEP THE REST IN SEMI-FOWLER POSITION.
• SUGGEST TO EARLY AMBULATION.
• TEACH DIAPHRAGMATIC BREATHING TECHNIQUES TO
SLOW TO HELP RELEASE MUSCLE TENSION.
• AVOID PRESSURE POPLITEAL AREA.
• GIVE ANTIEMETIC, ANALGESIC ACCORDING TO THE
PROGRAM.
 NURSING INTERVENTIONS
• ASSESS AND RECORD THE QUALITY, LOCATION AND DURATION OF
PAIN. BEWARE OF THE PAIN BECOMES SEVERE.
• MONITOR AND RECORD VITAL SIGNS OF THE INCREASE IN
TEMPERATURE, PULSE, BREATHING FAST AND SHALLOW EXISTENCE.
• ASSESS THE ABDOMEN AGAINST THE RIGIDITY AND DISTENTION,
DECREASED BOWEL SOUNDS.
• PERFORM WOUND CARE WITH ASEPTIC TECHNIQUE.
• SEE INCISION AND BANDAGE. RECORD THE DRAINAGE
CHARACTERISTICS OF THE WOUND / DRAIN, ERYTHEMA.
• COLLABORATION: ANTIBIOTICS
THANK
YOU!!