What are the nursing interventions for appendicitis?
Nursing interventions related to the appendicitis patient include:
- Assessing and relieving pain through medication administration as well as nonpharmacologic interventions.
- IMPORTANT: DO NOT APPLY HEAT TO THE APPENDICITIS PATIENT’S ABDOMEN AS THIS COULD LEAD TO RUPTURE.
- Prevent fluid volume deficit.
- Prevent infection.
What is the standard of care for appendicitis?
Appendectomy via open laparotomy or laparoscopy is the standard treatment for acute appendicitis. However, intravenous antibiotics may be considered first-line therapy in selected patients.
How do you assess for appendicitis in nursing?
There is no definitive test for appendicitis: diagnosis is usually based on judgement. – If there is pain in the lower right-hand side of the abdomen accompanied by nausea, appendicitis should be suspected. The patient’s temperature should be taken and the abdomen examined for tenderness.
How do you prepare a patient for an appendectomy?
How Do I Prepare for an Appendectomy? You’ll need to avoid eating and drinking for at least eight hours before the appendectomy. It’s also important to tell your doctor about any prescription or over-the-counter medications you’re taking. Your doctor will tell you how they should be used before and after the procedure.
What are the complication of appendicitis?
Complications of appendicitis may include wound infection, dehiscence, bowel obstruction, abdominal/pelvic abscess, and, rarely, death. Stump appendicitis also occurs rarely; however, at least 36 reported cases of appendicitis in the surgical stump after previous appendectomy exist.
Who is at risk for appendicitis?
Appendicitis affects 1 in 1,000 people living in the U.S. Most cases of appendicitis happen to people between the ages of 10 and 30 years. Having a family history of appendicitis may raise your risk, especially if you are a man. For a child, having cystic fibrosis also seems to raise the risk of getting appendicitis.
How do you confirm appendicitis?
Tests and procedures used to diagnose appendicitis include:
- Physical exam to assess your pain. Your doctor may apply gentle pressure on the painful area.
- Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an infection.
- Urine test.
- Imaging tests.
What labs are abnormal with appendicitis?
Accuracy of Diagnostic Tests for Appendicitis
| Test | LR+ | |
|---|---|---|
| One abnormal | 0.94 | |
| None abnormal | 0.14 | |
| WBC ≥ 10,000 cells per mm3 and CRP > 1.3 mg per dL (12 mg per L) |
Which test does the nurse use to assess a patient with suspected appendicitis pain?
The iliopsoas muscle test is used most often when acute abdominal pain is present and appendicitis is suspected.
What food is good after appendix surgery?
What to eat
- Well-cooked soft cereals.
- Mashed potatoes.
- Plain toast or bread.
- Plain crackers.
- Plain pasta.
- Rice.
- Cottage cheese.
- Pudding.
Main Article: 4 Appendectomy Nursing Care Plans. Goals for a patient with appendicitis include: Relieving pain. Preventing fluid volume deficit. Reducing anxiety. Eliminating infection due to the potential or actual disruption of the GI tract . Maintaining skin integrity.
What is the nursing assessment for appendicitis?
Nursing assessments for appendicitis: 1. Abdominal assessments: An abdominal assessment would be performed on a patient who is thought to have appendicitis. There are two tests that can be done, the rebound tenderness test and the iliopsoas muscle test (which are both mentioned above).
What is the nursing care plan for abdominal pain?
right iliac and vertebral column.
What is a nursing diagnosis for appendicitis?
Number 1 nursing diagnosis for appendicitis is: Acute pain related to obstruction of proximal lumen of appendix, inflammation or ulceration , or perforation secondary to appendicitis AEB…. Plan for acute pain: Patient will verbalize relief of pain following administration of pain medication.