Appendicitis nursing care should be perform clearly and correctly. Appendicitis is one of big problem for medical health care workers because the symptoms is similar with other common conditions. The focus of appendicitis nursing care is not only for operative care, but also comprehensive nursing care.

Definition

Appendicitis is a common abominal surgery disease, and it is an inflamation in vermiform appendix. Appendicitis usually occur in every age and every gender. But, this disease usually attacks teenagers to 30 years old. Antibotic is the most effective treatment for this appendicitis disease and the mortality become in lower level.

If appendicitis does not treat well, serious complication can occur.

Causes

Obstruction in intestinal lumen that is caused by fecal, constriction, barium, or virus infection. For more detail about the appendicitis causes, read the article here.

Sign and Symptoms

Early:

  • Periumbilical pain or colic epigastric, anorexia, nausea, and vomit
  • Local pain in lower right quadrant abdomen
  • Abdominal rigidity
  • Refractive respiration
  • Severe pain
  • Abdominal spasm
  • Spreading pain from lower right quadrant indicate peritoneal inflammation
  • Minimal symptoms and mild pain for elder patient

Continues:

  • Constipation
  • Diarrhea
  • High fever (37, 2 – 38, 9 degree Celsius)
  • Tachycardia (Fast Heart Beat)
  • Appendix perforation and infarction which is indicated by sudden abdominal pain stop.

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Diagnosis examination

  1. White blood cell is increase about 12.000-20.000/µl with immature cells
  2. Imaging study does not need to do for patient with certain serious appendicitis.

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Treatment

  1. Appendectomy is the only effective way to treat appendicitis.
  2. If there is peritonitis, the treatments are gastro intestine intubation, fluid and electrolyte therapy, and antibiotics.

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Appendicitis Nursing care

  1. Fulfil the patient’s fluid with intravenous fluid to prevent dehydration
  2. Do not use enema and do not compress with warm compress on lower right abdomen quadrant because those procedure can increase appendix rupture risk
  3. After appendectomy monitor the vital signs and patient’s output
  4. Ask patient to do effective cough, deep breath, and change his/ her position to prevent pulmonary complications
  5. Note bowel sound, flatus present, and peristaltic movement, for patient with subsite nausea and abdominal rigidity. Those signs indicate that he/she can take fluid
  6. Look operative complication accurately. Pain and fever can be signal for abscess. Check for reopening of operative wound. If there is abscess or peritonitis, incision and drainage will be needed. Monitor the patient’s drainage then.
  7. Help patient to walk in 24 hours after surgery
  8. If patient has appendicitis with peritonitis, nasogastric pipe will be needed to prevent abdomen pressure and release nausea and vomit.