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GRCC PN132 test 1

GRCC PN132 Appendicitis

QuestionAnswer
Inflammation of the appendix Appendicitis
Most common reason for emergency abdominal surgery in the united states; common among young people. Appendicitis
Pain in the epigastric region that shifts to the right lower quadrant Manifestations of appendicitis
pain at McBurney's point Manifestations of appendicitis
Low grade temperature elevation Manifestations of appendicitis
Elevated white blood count manifestations of appendicitis
pain: location, severity, onset nursing assessment to determine if pt has appendicitis.
Past med hx, nausea and vomiting , abdominal clues (pain tenderness, distention) nursing assessment to determine if pt has appendicitis.
right lower ab, and is relieved by bending hip or right side of knee Symptoms of appendicitis
Appendix hangs off the secum; opens up to large intestine and feces can get caught/blocked- appendix starts to swell Symptoms and causes of appendicitis.
Blood get cuts off, abscess formation sets in, potentially collecting bacteria causing parientitis Symptoms and causes of appendicitis
Risk for infection Nsg dgx for appendicitis
Deficient fluid volume Nsg dgx for appendicitis
Acute pain Nsg dgx for appendicitis
Ineffective breathing pattern Nsg dgx for appendicitis
Fear Nsg dgx for appendicitis
Inneffective tissue perfusion: gastrointestinal Nsg dgx for appendicitis- inflammation and edema of the appendix interfere with its blood supply, increasing the risk for tissue necrosis and rupture.
Pain Nsg dgx for appendicitis - this condition causes pain.
What sensation follows when the appendix ruptures? Perforation may be signaled by a sudden relief of pain, followed by increased generalized pain and abdominal distention.
What happens to vital signs when perforation of the appendix with infection and peritonitis. An elevated puls and rapids shallow breathing and temp may be elevated.
What signs & symptoms indicate infection or peritonitis? Swelling of the wound, increased abdominal girth, or increased pain.
What signs and symptoms may indicate peritonitis. Generalized ab pain with guarding of ab muscles.
Pre-operative interventions to relieve pain pt shouls be semi-fowler's position & head and knees up.
Pre-operative intervention pt most likely will not be given analgesics.
Use ice only...DO NOT use heat as this could cause a rupture. Pre-operative intervention to relieve pain
Administer antibiotics Post-op interventions
Naso gastric tube to relieve nausea and vomiting. post-op interventions
What should a nurse do if appendicitis is suspected? Withhold all food and fluids because surgery is the treatment of choice.
What should a nurse avoid administering to the pt prior to surgery? Do not administer laxatives or enemas or apply heat to the ab because these measures may cause perforation of the appendix.
What can nurse teach pt before they are dc'd? Discuss activity restrictions, avoid heavy lifting for up to 6 weeks, depending on surgery, pt may be able to drive 1-2 wks after surgery.
What is the initial symptom of acute appendicitis? Generalized or upper ab pain often is the initial symptom.
Rebound tenderness relief of pain during palpation followed by pain on release of pressure.
What is administered prior to surgery for appendicitis? Antibiotics is initiated and continues for at least 48 hours.
Laparotomy Surgical opening of the ab.
Laparoscopy Exploration of the ab using an endoscope
Laparscopic appendectomy 3 small incisions and recover is rapid.
Created by: Wends1984
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