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4 Nursing Diagnosis related to Appendicitis

Appendicitis is an inflammation of the appendix is a worm-shaped, which is located near the ileocecal valve (long, Barbara C., 1996 case 228)

There are 4 factors that influence the occurrence of appendicitis:
  • The presence of lysis lumen.
  • Continuous degrees of blockage.
  • Continuous mucus secretion.
  • Properties in elastic / no bending of the mucosa of the appendix.
Clinical manifestation
  • Right lower quadrant pain is usually accompanied by low-grade fever, nausea, and often vomiting.
  • At McBurney's point (located between the umbilicus and mid-anterior spine of the ilium) local tenderness and a little stiff because of pressure from the bottom right of the rectum muscle.
  • Referred pain may exist, the location of the appendix caused some tenderness, muscle spasm, and constipation or diarrhea
  • Rovsing's sign may occur with palpation of the left lower quadrant, which is paradoxical causes pain felt in the right lower quadrant.
  • If there is rupture of the appendix, the pain will become more diffuse, occurring as a result of paralytic ileus abdominal distention and the condition worsens.

Management
  • Preoperative treatment: note the typical signs of pain
  • Right lower quadrant of the abdomen with rebound tenderness (tenderness off), elevation of erythrocyte sedimentation rate, positive psoas sign, rectal tenderness on the right side. Patients were told to rest in bed. Given intravenous fluids started, medications such as laxatives and antibiotics should be avoided if possible.
  • Surgical therapy: uncomplicated appendicitis, appendectomy performed immediately after fluid balance and systemic disorders is important.
  • Antibiotic therapy, but anti intravenous should be administered for 5-7 days if it has been perforated appendicitis.


4 Nursing Diagnosis related to Appendicitis

1. Acute Pain
related to:
distended colon tissue,
inflammation,
operation wound

2. Fluid Volume Deficit
related to
nausea and vomiting

3. Risk for infection
related to
perforation or rupture of the appendix,
peritonitis,
abscess formation

4. Knowledge Deficit
related to
less given,
less information

Pediatric Nurses