Week 7 Appendicitis (System Disorder) PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

Courtney Kolnicki

STUDENT NAME _____________________________________

Appendicitis DISORDER/DISEASE PROCESS __________________________________________________________

23 REVIEW MODULE CHAPTER ___________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem

Health Promotion and Disease Prevention

Inflammation of the vermiform appendix caused from an obstruction of the lumen of the appendix.

Obstruction leads to distention, bacterial overgrowth, ischemia, and inflammation. If untreated, necrosis, gangrene, and perforation occur.

There is no way to prevent appendicitis, however, it is less common in those who eat foods high in fiber such as fresh vegetables and fruits.

ASSESSMENT

Risk Factors Age, gender, and family history.

Laboratory Tests CBC and urinalysis.

SAFETY CONSIDERATIONS

Expected Findings Abdominal pain in the right lower quadrant, rigid abdomen, decreased or absent bowel sounds, fever, diarrhea or constipation, lethargy, tachycardia, rapid, shallow breathing, anorexia, and possible vomiting.

Diagnostic Procedures Computed tomography scan shows an enlarged diameter of appendix, as well as thickening of the appendiceal wall.

PATIENT-CENTERED CARE

Nursing Care Prepare the child and family for surgery using developmentally appropriate techniques, avoid applying heat to the abdomen, and avoid enemas or laxatives.

Therapeutic Procedures Removal of the non-ruptured appendix and removal of the ruptured appendix.

ACTIVE LEARNING TEMPLATES

Do not use pain medication- taking it can make it difficult to know if the pain from appendicitis gets better or worse. Do not use enemas or laxativesthese can increase the risk of a ruptured appendix. Take temperature every 2 hours and keep a record.

Complications Medications Piperacillin, tazobactam, ampicillin, sulbactam, ticarcillin, clavulanate, ceftriaxone, cefepime, gentacidin, garamycin, meropenem, and ertapenem.

Client Education Severe sharp pain in the lower right abdomen is the main symptom of appendicitis. If this occurs and appendicitis is diagnosed, prompt surgery is necessary to remove the appendix to avoid complications.

Interprofessional Care Maintain drain after surgery, maintain the drain per the providers orders, keep the patient on the right side to allow gravity to assist with drainage, assist patient to ambulate, encourage incentive spirometry use, administer antibiotics per provider order.

Peritonitis (inflammation in the peritoneal cavity), wound infection, dehiscence, bowel obstruction, abdominal/ pelvic abscess, and in severe cases, death....