Nursing Diagnosis and Nursing Interventions

Nursing Diagnosis and Nursing Interventions for Appendicitis

Nursing Diagnosis and Nursing Interventions for Appendicitis
Acute appendicitis is the most common cause of acute inflammation in the lower right quadrant of the abdominal cavity, the most common causes of emergency abdominal surgery (Smeltzer, 2001).

Appendicitis is a condition in which infection occurs in the appendix. In mild cases may recover without treatment, but many cases require laparotomy with removal of the infected appendix. If untreated, the mortality rate is quite high, due to peritonitis and shock when an infected appendix destroyed. (Anonymous, Appendicitis, 2007)

Nursing Diagnosis for Appendicitis

  1. Ineffective Breathing Pattern related to the act of anesthetics.
  2. Acute Pain related to the surgical incision.
  3. Risk for Fluid Volume Deficit associated with vomiting.
  4. Imbalanced Nutrition: Less than Body Requirements related to anorexia.
  5. Risk of Infection related to surgical incision.

Nursing Diagnosis for Appendicitis

Risk for infection related to an inadequate primary defenses, perforation, peritonitis secondary to inflammatory processes.

Nursing Interventions for Appendicitis
  1. Assess and record the quality, location and duration of pain. Beware of the pain becomes severe.
  2. Monitor and record vital signs of the increase in temperature, pulse, breathing fast and shallow existence.
  3. Assess the abdomen against the rigidity and distention, decreased bowel sounds.
  4. Perform wound care with aseptic technique.
  5. See incision and bandage. Record the drainage characteristics of the wound / drain, erythema.
  6. Collaboration: antibiotics


Nursing Diagnosis for Appendicitis

Acute Pain related to distention of intestinal tissue by inflammation, a surgical incision


Nursing Interventions for Appendicitis
  1. Assess pain. Record the location, characteristics of pain.
  2. Keep the rest in semi-Fowler position.
  3. Suggest to early ambulation.
  4. Teach diaphragmatic breathing techniques to slow to help release muscle tension.
  5. Avoid pressure popliteal area.
  6. Give antiemetic, analgesic according to the program.
Source : http://nursinginterventions-diagnosis.blogspot.com

Share :

Facebook Twitter Google+

Nursing Diagnosis - Nursing Interventions

NANDA NURSING

Powered by Blogger.
Back To Top