Appendicitis Nursing Care Plan & Management Description ●Appendicitis is inflammation of the appendix.●When the appendix becomes inflamed or infected, rupture may occur within a matter of hours, leading to peritonitis and sepsis.Risk Factors ●Obstruction by fecalith or foreign bodies, bacteria or toxins.●Low-fiber diet ●High intake of refined carbohydrates Signs and Symptoms/ Assessment 1 / 2
1.Pain in the periumbilical area that descends to the right lower quadrant.
2.Abdominal pain that is most intense at McBurney’s point 3.Rebound tenderness and abdominal rigidity 4.Low-grade fever 5.Elevated white blood cell count 6.Anorexia, nausea, and vomiting 7.Client in side-lying position, with abdominal guarding and legs flex ed 8.Constipation or diarrhea Diagnostic Evaluation ●Diagnosis is based on a complete physical examination and laboratory and radiologic tests.●Leukocyte count greater than 10,000/mm 3, neutrophil count greater than 75%; abdominal radiographs, ultrasound studies, and CT scans may reveal right lower quadrant density or localized distention of the bowel.Primary Nursing Diagnosis Primary Preoperative Nursing Diagnosis ●Pain (acute) related to inflammation Primary Postoperative Nursing Diagnosis ●Risk for infection related to the surgical incision Other Diagnoses that may occur in Nursing Care Plans For Appendicitis
●Imbalanced nutrition: Less than body requirements
●Impaired skin integrity
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