Appendicitis is the obstruction and inflammation of the inner lining of the appendix. If left untreated, increasing inflammation and infection can lead to necrosis, gangrene or perforation of the appendix in which the infectious materials spill out into the abdominal cavity causing peritonitis. Appendicitis is considered a medical emergency and requires surgery to remove the appendix (appendectomy).
Obstruction of the appendix may result from fecal material, infection, a foreign body or cancer blocking the opening of the appendix. The bacteria from the collection of fecal matter or infection multiply rapidly which causes the appendix to become inflamed, distended and filled with pus, creating an obstruction.
Optimal pain relief and patient will be free from infection.
Place in semi-Fowler’s position
This position allows gravity to assist by reducing abdominal stress and relieves discomfort
Abnormal labs are indications of illness progression. Monitor for:
Monitor vital signs
Prep for surgery to remove appendix (appendectomy)
Provide Post-Op care after appendectomy
Assess and manage pain
Encourage abdominal splinting
Education the patient on ways to protect abdomen before and after surgery by splinting with a pillow- this will aid in pain management and prevent dehiscence of incision.
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