Episodes of Constipation Low Fiber Diet

↓ ↓
↓
Occlusion of Appendix by Fecalith
↓
Decreased flow/drainage of mucosal secetions
↓
Increased ILP in the appendix
↓
Vasocongestion
↓
Decreased blood supply in the appendix
↓
Decreased O2 supply in the appendix
↓
Appendix starts to be necrotic; Bacteria invade the appendix
↓
Disruption of Cell Membrane of Appendix
↓
Start of Inflammatory Process
↓
↓ ↓ ↓
Release of Chemical Mediators Activation of the Vomiting Neutrophils to area
Center in the Medulla
↓ ↓
---> Histamine, Prostaglandin, Stimulation of Vagus Suppression of Pus Formation
Leukotrienes, Bradykinin Nerve Sympathetic (phagocytized bacteria
↓ GI Function and dead cells)

Swelling of Appendix Risk for Infection

(if appendix ruptures)
---> Prostaglandin, Bradykinin Nausea & Vomiting Anorexia
↓
Pain in the RLQ of Abdomen Risk for Deficient Risk for Imbalanced Nutrition
↓ Fluid Volume less than body requirements
Acute Pain
---> Interleukin-1
↓
Increased WBC

Inflammation of Appendix (Appendicitis) <

↓
Appendectomy
↓
Tissue Trauma

↓
Open Wound Disruption of Cell Membrane Nociceptors on the
↓ ↓ ↓ Dermis
Impaired Tissue Risk for Start of Inflammatory ↓
Integrity Infection Process Send Impulse to CNS

Release of Prostaglandin/ Pain on Surgical

Bradykinin Site

Activity Intolerance