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DEFINITION OF TERMS
ANATOMY
PATHOPHYSIOLOGY
The appendix becomes inflamed and
edematous as a result of becoming kinked
or occluded by a fecalith, tumor, or foreign
body.
The inflammatory process increases
intraluminal pressure, initiating a
progressively severe, generalized or
periumbilical pain that become localized to
the right lower quadrant of the abdomen
within few hour.
The inflamed appendix fills with pus.
RISK FACTORS:
Age
Gender
CLINICAL MANIFESTATIONS
Loss of appetite
Rebound tenderness
Rovsings sign
Constipation
Ultrasound
CT scan
COMPLICATIONS
Perforation
Abscess
Peritonitis
MEDICAL MANAGEMENT
Immediate surgery
Administration of IV fluids and antibiotic
- To correct or prevent fluid and electrolyte
imbalance, dehydration and sepsis until
surgery is performed.
NURSING
RESPONSIBILITIES
Relieving Pain
Reducing Anxiety
Eliminating Infection
APPENDECTOM
Y
Definition
Removal
of the appendix
Performed
2 Ways To Perfomed:
Laparotomy
Laparoscopy
INSTRUMENTS USED
Basic Set
Basic Sharps
AP
OS
Babcock
Silk
HOW IT IS DONE?
PREOPERATIVE MANAGEMENT
All diagnostic tests and procedures are
explained to promote cooperation and
relaxation.
The patient is prepared for the type of surgical
procedures as well as the post operative care.
Measures to prevent postoperative complication
are taught, including coughing, turning, and
deep breathing using splint at the incision site.
I.V fluids or total parenteral nutrition before
surgery maybe ordered to improved fluid and
electrolyte balance and nutritional status.
Intake and output is monitored.
Reported by:
Mhay Del
Poso
and
Vanessa
Duncil