The document discusses appendicitis, including:
- The appendix's anatomy and functions. Appendicitis occurs when the appendix becomes blocked and inflamed.
- Appendicitis symptoms include abdominal pain that starts in the center and moves to the lower right side. Other symptoms are nausea, vomiting, and fever.
- Risk factors include infections, foreign objects blocking the appendix, and inflammatory bowel disease.
- Diagnosis involves physical exam, blood tests, and imaging scans like ultrasound or CT.
- Treatment is an appendectomy to remove the appendix. Antibiotics are also given to prevent infection.
- Complications can include infection, abscess, or rupture of the appendix if not treated. Nursing
Appendicitis is characterized by inflammation of the appendix. it is most common abdominal emergency encountered in children. most common symptom is pain., vomiting and low - grade fever. Here, nurses play an important role in managing the problem before the doctor arrives. so read this out and it will help you in the future.
Intestinal obstruction is a significant or mechanical blockage of intestine that occurs when food or stool can not move through the intestine.
These obstruction may be complete or partial.
Acid reflux occurs when the sphincter muscle at the lower end of your esophagus relaxes at the wrong time, allowing stomach acid to back up into your esophagus.
An intestinal obstruction occurs when your small or large intestine is blocked. The blockage can be partial or total, and it prevents passage of fluids and digested food. If intestinal obstruction happens, food, fluids, gastric acids, and gas build up behind the site of the blockage.
Appendicitis is characterized by inflammation of the appendix. it is most common abdominal emergency encountered in children. most common symptom is pain., vomiting and low - grade fever. Here, nurses play an important role in managing the problem before the doctor arrives. so read this out and it will help you in the future.
Intestinal obstruction is a significant or mechanical blockage of intestine that occurs when food or stool can not move through the intestine.
These obstruction may be complete or partial.
Acid reflux occurs when the sphincter muscle at the lower end of your esophagus relaxes at the wrong time, allowing stomach acid to back up into your esophagus.
An intestinal obstruction occurs when your small or large intestine is blocked. The blockage can be partial or total, and it prevents passage of fluids and digested food. If intestinal obstruction happens, food, fluids, gastric acids, and gas build up behind the site of the blockage.
Out of a variety of Digestive System diseases, Hernia is common and associated with obesity. the presentation gives a brief overview regarding the management of hernias in clinical surgical departments of Hospitals.
A condition in which part of an organ is displaced and protrudes through the wall of the cavity containing it (often involving the intestine at a weak point in the abdominal wall)
Intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. Either the small bowel or large bowel may be affected. Signs and symptoms include abdominal pain, vomiting, bloating and not passing gas.
Gallstones are hardened deposits of bile that can form in your gallbladder. Bile is a digestive fluid produced in your liver and stored in your gallbladder. When you eat, your gallbladder contracts and empties bile into your small intestine (duodenum)
In this slide, you can understand the concept of Nausea and vomiting normally called "puke.''
Difference between Nausea and vomiting.
Causes of Vomiting.
Diet in Vomiting
Treatment in Vomiting.
Treatment of Vomiting in Pregnancy.
PPT download link.
https://drive.google.com/open?id=1beZMVQ75fdiGJlJDbGJKK3MGio6zgpLfTu9flkBSutk
Video Link:
https://youtu.be/ZvUiGpjt3zc
BURN - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject is Medical Surgical Nursing - II & Topic is Burn, Presented by Mohammed Haroon Rashid Basci B.Sc Nursing 3rd Year in Florence College of Nursing
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A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most commonly of the inguinal type but may also be femoral
Out of a variety of Digestive System diseases, Hernia is common and associated with obesity. the presentation gives a brief overview regarding the management of hernias in clinical surgical departments of Hospitals.
A condition in which part of an organ is displaced and protrudes through the wall of the cavity containing it (often involving the intestine at a weak point in the abdominal wall)
Intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. Either the small bowel or large bowel may be affected. Signs and symptoms include abdominal pain, vomiting, bloating and not passing gas.
Gallstones are hardened deposits of bile that can form in your gallbladder. Bile is a digestive fluid produced in your liver and stored in your gallbladder. When you eat, your gallbladder contracts and empties bile into your small intestine (duodenum)
In this slide, you can understand the concept of Nausea and vomiting normally called "puke.''
Difference between Nausea and vomiting.
Causes of Vomiting.
Diet in Vomiting
Treatment in Vomiting.
Treatment of Vomiting in Pregnancy.
PPT download link.
https://drive.google.com/open?id=1beZMVQ75fdiGJlJDbGJKK3MGio6zgpLfTu9flkBSutk
Video Link:
https://youtu.be/ZvUiGpjt3zc
BURN - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject is Medical Surgical Nursing - II & Topic is Burn, Presented by Mohammed Haroon Rashid Basci B.Sc Nursing 3rd Year in Florence College of Nursing
Search Results
Featured snippet from the web
A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most commonly of the inguinal type but may also be femoral
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3. Indroduction:
• The appendix is a small fingerlike appendage
about 10 cm (4 in) long, attached to the
cecum just below the ileocecal valve.
• No definite functions can be assigned to it in
humans.
• The appendix fills with food and empties as
regularly as does the cecum.
• It is prone to become obstructed and is
particularly vulnerable to infection
(appendicitis) because it is small.
4. Facts about Appendicitis:
• Appendicitis is the most common cause of acute
inflammation in the right lower quadrant of the
abdominal cavity.
• About 7% of the population will have appendicitis
at some time in their lives.
• Males are affected more than females and
teenagers more than adults.
• It occurs most frequently between the age of 10
and 30.
• It is more prevalent in countries in which people
consume a diet low in fiber and high in refined
carbohydrates.
5. Definition:
Appendicitis is inflammation of the vermiform
appendix caused by an obstruction attributable
to infection, structure, fecal mass, foreign
body, or tumor.
6.
7. Pathophysiology of Appendicitis:
• The appendix becomes inflamed and
edematous as a result of becoming kinked or
occluded by a fecalith, (a hard stony mass of
feceas in the intestinal tract) /tumor, or
foreign body.
• The inflammatory process increases intra
• luminal pressure, initiating a progressively
severe, generalized or peri umbilical pain that
become localized to the right lower quadrant
of the abdomen within few hour.
• The inflamed appendix fills with pus.
9. Risk Factors:
• Caused by various infections such as
• virus, Coxsackievirus has been associated with
cecal inflammation and periappendiceal
lymphoid hyperplasia.
• Bacteria and (Klebsiella, Enterobacte)
• Parasites(Entamoeba,histolytica) Schistosoma in your
digestive tract. Or
• it may happen when the tube that joins your large
intestine and appendix is blocked or trapped by stool.
Sometimes tumors can cause appendicitis. The
appendix then becomes sore and swollen.
10. Risk Factors
Abdominal injury or trauma.
Blockage at the opening where the appendix
connects to the intestines.
Digestive tract infection.
Inflammatory bowel disease.
Growths inside the appendix.
11. Clinical Manifestations:
1. Generalized or localized abdominal pain in the
epigastric or periumbilical areas and upper right
abdomen.
2. The pain localizes in the right lower quadrant and
intensity increases with 2 to 12 hours.
3. Anorexia, moderate malaise, mild fever, nausea and
vomiting.
4. Usually constipation occurs ; occasionally diarrhea.
5. Rovsing’s Sign: which pressure on the left lower
quadrant of the abdomen causes pain in the right
lower quadrant.
6. Rebound tenderness, involuntary guarding, generalized
abdominal rigidity.
12. Diagnostic Evaluation:
Physical examination consistent with clinical
manifestations.
WBC count reveal moderate leukocytosis (10,000
to 16,000/mm3).
Urinalysis rule out urinary disorders.
Abdominal x-ray may visualize shadow consistent
with fecal in appendix; perforation will reveal free
air.
Abdominal ultrasound or CT scan can visualize
appendix and rule out other conditions, such as
diverticulitis and crohn’s disease.
Focused appendiceal CT can quickly evaluate for
appendicitis.
13. Complications of Appendicitis
•
If it isn’t treated, a diseased appendix can rupture. A
burst appendix can cause an infection that can lead to
serious illness and even death. Complications include:
•
Abscess: You may develop an appendicular abscess, or a
pocket of infectious pus. Your healthcare provider will
place drainage tubes in your abdomen. These tubes
remove fluid from the abscess before surgery. The
drainage process may take a week or longer. During this
time, you take antibiotics to fight infection. After the
abscess is gone, you’ll have surgery to remove the
appendix.
14. Complications of appendicitis
•
Abdominal infection: Peritonitis can be life-
threatening if infection spreads throughout
the abdomen. Abdominal surgery
(laparotomy) removes the ruptured appendix
and treats the infection.
•
Sepsis: Bacteria from a ruptured appendix can
get into your bloodstream. If it does, it can
cause a serious condition called sepsis. Sepsis
causes widespread inflammation in many of
your organs. It can be fatal. It requires hospital
treatment with strong antibiotics
16. Continue……… Surgery:
Appendectomy:
It is a surgery to remove of the appendix.
It is the effective treatment.
It is performed if appendicitis is diagnosed as
soon as possible to decrease the risk of
perforation.
Appendectomy may be performed under a
general or spinal anesthetics with a low
abdominal incisions or by laparoscopy which
is recently highly effective method.
17. Continue…….. Treatment
Administration of IV fluids and antibiotic to
correct or prevent fluid and electrolyte
imbalance, dehydration and sepsis until
surgery is performed.
Administration of Antibiotics.
Analgesics can be administered after the
diagnosed is made.
18. Complications:
Perforation of the appendix:
Peritonitis.
Abscess formation.
Portal pylephlebitis.
If left untreated, appendicitis may progress to abscess,
perforation, subsequent peritonitis, and death
19.
20. Nursing Diagnosis:
•
1. Acute Pain related to Distension of
intestinal Possibly evidenced by Reports of
pain Facial grimacing, muscle guarding;
distraction behaviors Expressive behavior
(restlessness, moaning, crying, vigilance,
irritability, sighing) tissues by inflammation
21. Nursing Interventions:
Monitor frequently for signs and symptoms of
worsening condition, indicating perforation, abscess,
or peritonitis (increasing severity of pain, tenderness,
rigidity, distention, absent bowel sounds, fever,
malaise, and tachycardia).
Notify health care provider immediately if pain
suddenly ceases, this indicates perforation, which is a
medical emergency.
Assist patient to position of comfort such as semi-
fowlers with knees are flexed.
22. Continue………..Nursing Interventions
Apply ice bag to abdomen for comfort.
Avoid indiscriminate palpation of the abdomen to avoid
increasing the patients discomfort.
Promptly prepare patient for surgery once diagnosis is
established.
Explain signs and symptoms of postoperative
complications to report-elevated temperature, nausea
and vomiting, or abdominal distention; these may
indicate infection.
Do not give analgesics/antipyretics to mask fever, and
do not administer cathartics because they may cause
rupture.
23. Restrict activity that may aggravate pain, such as
coughing and ambulation.
Instruct patient on turning, coughing, or deep
breathing, use of incentive spirometer, and
ambulation. Discuss purpose and continued
importance of these maneuvers during recovery
period.
Teach incisional care and avoidance of heavy
lifting or driving until advised by the surgeon.
Advise avoidance of enemas or harsh laxatives;
increased fluids and stool softeners may be used
for postoperative constipation.
Continue………..Nursing Interventions
24. Discharge Planning:
Antibiotics for infection and analgesic agent can
be given for pain after the surgery.
Within 12 hrs of surgery you may get up and
move around.
Within 2-3 week usually can return to normal
activities s after laparoscopic surgery.
To care wound perform dressing changes and
irrigations as prescribe avoid taking laxative or
applying heat to abdomen when abdominal pain
of unknown cause is experienced.
Reinforce need for follow-up appointment with
the surgeon and to call the physician if the pain
increase at the incision site .
25. Continue……………Discharge Planning
Document bowel sounds and the passing of
flatus or bowel movements (these are signs of
the return of peristalsis.
Watch for surgical complications such as
continuing pain or fever, which indicate an
abscess .
Stitches removed between fifth and seventh
day.
Liquid or soft diet until the infection subsides
Soft diet is low in fiber and easily breaks down
in the gastrointestinal tract.