Nursing in Patients with Appendiksitis

Nursing in Patients with Appendiksitis - These days we want to discuss the article with the title health Nursing in Patients with Appendiksitis we hope you get what you're looking for. We are here trying to make the best possible to provide information on this blog.

Nursing in Patients with Appendiksitis

Nursing in Patients with Appendiksitis

1. Definition

Acute appendicitis is the most common cause of acute inflammation on the bottom right quadrant abdominal cavity, the most common cause for emergency abdominal surgery (Smeltzer, 2001).

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

Appendicitis is the inflammation due to infection of the appendix or the appendix (appendix). These infections can lead to pernanahan. If the infection worsens, the appendix can rupture. The appendix is ​​an intestinal tract clogged and prominent edges from the beginning of the colon or cecum (cecum). Appendix magnitude around the little finger and the hand is located in the lower right abdomen. The structure is like other parts of the intestine. However, the mucus glands that always contains a lot of mucus. (Anonymous, Appendicitis, 2007)

Appendicitis is an inflammation of the appendix / appendix (Anonymous, Appendicitis, 2007).

2. Classification

Classification appendicitis divided into 2 ie:

Acute appendicitis, divided into: acute appendicitis or segmentalis fokalis, ie after recovery will occur locally stricture. Appendicitis purulenta diffusion, which have accumulated pus.

Chronic appendicitis, divided into: chronic appendicitis fokalis or partially, after recovering stricture will occur locally. Chronic appendicitis appendix obliteritiva is tilted, usually found in old age.


3. Etiology

Appendiksitis is a bacterial infection caused by obstruction or blockage due to:

Hyperplasia of lymphoid follicles.
The presence fekalit in appendix lumen.
Tumor appendix.
The presence of foreign objects such as ascariasis worm.
Appendix mucosa erosion due to parasites such as E. Histilitica.

According to research, epidemiology shows eating foods low in fiber will cause constipation which can cause appendiksitis. This will increase the pressure of intra sekal, causing functional obstruction appendix and improve the growth of germs on the colonic flora.

4. Signs and symptoms

Quadrant abdominal pain is felt on the bottom and is usually accompanied by mild fever, nausea, vomiting and loss of appetite. Local tenderness at the point of Mc. Burney pressure when it's done. Pain press release may be encountered.

The degree of tenderness, muscle spasm, and if there is constipation or diarrhea does not depend on the severity of infection and location of the appendix. When the appendix circle behind the cecum, pain and tenderness can be felt in the lumbar region, when the tip is in the pelvis, these signs can only diketahuipada rectal examination. Pain at defecation shows that the end of the appendix close to the bladder or ureter. The presence kekeakuan on the bottom right of the rectum muscle may occur.

Tand Rovsing may arise by palpation of the left lower quadrant, which is paradoxical cause pain felt in the lower right quadrant. If the appendix has ruptured, the pain and can be more diffuse, abdominal distension and paralytic ileus due to clients condition worsened.

5. Pathophysiology

The main cause is obstuksi appendiksitis blockage which can be caused by hyperplasia of polikel lympoid is the most common cause of fekalit in lumen appendik.Adanya foreign objects such as: worms, stricture caused by inflammation, fibrosis karenan sebelunnya.Sebab another example: malignancy (carcinoid carcinoma).

Obsrtuksi appendix that causes mucus produced by mucous unstoppable, more and more mucus is unstoppable and suppress edema appendix wall and stimulate the tunica serosa and visceral peritoneum. Therefore, the neural appendix with the intestinal torakal X then the stimulus is perceived as pain around umblikus.

The collected mucus was then infected by the bacteria into pus, and then arise venous flow disturbance, while the artery is not interrupted, the inflammation that arises regarding peritomium parietal widespread and local, causing pain on the right below, this condition is called acute suppurative Appendisitis.
When the arterial flow is disrupted then arise allergens and is called by Appendisitis gangrenosa. When the wall acute appendix had burst, called Appendisitis perforation.

When the omentum adjacent bowel can surround the inflamed or perforated appendix will arise a local time, a condition called as Appendisitis abscess. In children - children as omentum is still short and thin, relatively long appendix, the appendix wall is much thinner and stamina is still lacking, as well as in older people because there's been blood vessel disorders, the perforation occurred more quickly. If these infiltrates Appendisitis cure the symptoms disappear and then arise in the future then there is chronic Appendisitis (Junaidi; 1982).

6. Complication

Perforation with abscess formation
Generalized peritonitis.
Pieloflebitis and liver abscesses, but rarely.


7. Prevention

Prevention of appendiksitis namely by lowering the risk obstuksi and inflammation of the appendix lumen. The pattern of elimination client should be assessed, because of obstruction by fekalit can occur because there is no strong diet and treatment of high serat.Perawatan worm also creates the risk of disease. Rapid introduction of the symptoms and signs appendiksitis reduce the risk of gangrene, perforation and peritonitis.

8. Management

In appendiksitis acute, the best treatment is surgery appendix. Within 48 hours must be done. Patients in obsevarsi, rest in the Fowler position, given antibiotics and are given food that does not stimulate persitaltik, if there is perforation given drain in the lower right abdomen.

Pre-operative action, including patients in hospital, given antibiotics and compress to lower the temperature of the patient, the patient was asked to tirabaring and fasted.
Operative action; appendiktomi.
Post-operative action, one day post-surgical clients are encouraged to sit up in bed for 2 x 30 minutes, the next day of soft food and standing outside the room, the seventh day wound stitches removed, the client's home.


A. Assessment

Patient Identity
The identity of the client's name, age, sex, marital status, religion, tribe / nation, education, occupation, income, address and registration number.

Nursing History
Medical History now: complaints of pain in postoperative wound apendektomi, nausea, vomiting, increased body temperature, increased leukocytes.

Past Medical History

Physical examination
Cardiovascular System: To determine vital signs, presence or absence of jugular vein distension, pale, edema, and abnormal heart sounds.

Hematological system: To determine whether there is an increase in leukocytes is a sign of infection and bleeding, nosebleeds splenomegaly.

Urogenital system: There is absence of tension of the bladder and back pain complaints.

Musculoskeletal System: To determine whether there is difficulty in movement, pain in bones, joints and there are fractures or not.

The immune system: To determine whether there is lymph node enlargement.

Examination Support
Routine blood tests: to determine an increase in leukocytes is a sign of infection.

Abdominal x-ray examination: to know the existence of post-surgical complications.


Appears Possible Nursing Diagnosis

Pain associated with incision wounds to the right lower quadrant abdominal postoperative appenditomi.

Activity intolerance related to restriction of motion secondary to pain.

High risk of infection associated with invasive procedures appendiktomi.

The risk of lack of fluid volume in relation to the restriction of oral fluid intake.


Intervention

Nursing Diagnosis 1. :
Pain associated with incision wounds on postoperative abdominal mesial area appendiktomi

Goal
Pain is reduced / lost with

Criteria Results:
Seemed relaxed and could sleep properly.

Intervention

Assess the scale of pain location, pain characteristics and report changes accordingly.
Maintain a break with the semi powler.
Encourage early ambulation.
Give your entertainment activities.
Kolborasi team of doctors in the provision of analgesics.

Rational

Useful in surveillance and keefesien medicine, healing progress, changes and characteristics of pain.
Eliminating stress is increased by abdominal supine position.
Improve kormolisasi organ function.
increase relaxation.
Pain relief.


Nursing Diagnosis 2. :
Activity intolerance related to restriction of motion secondary to pain

Goal
Tolerance activity

Criteria Results:

Clients can move without restriction
Careful not to move.


Intervention

note the emotional response to the mobility.
Provide activities in accordance with state clients.
Give the client to passive motion exercises and active movements.
Assist clients in conducting activities that are burdensome.

Rational

Forced immobilization will increase anxiety.
Increasing organ kormolitas sesuiai expected.
Improving body mechanics.
Avoiding things that can aggravate the situation.


Nursing Diagnosis 3. :
High risk of infection associated with invasive procedures appendiktomi

Goal
Infection does not occur

Criteria Results:
There were no signs of infection and inflammation

Intervention

Measure vital signs
Observation of signs of infection
Perform wound care using aseptic technique and septic
Observation of the incision wound

Rational

To detect early symptoms of the onset of the infection
Early detection of infection will be easily
Lowering the risk of infection and spread of bacteria.
Provide early detection of infection and the development of sores.


Nursing Diagnosis 4. :
The risk of lack of fluid volume restriction pemasuka n berhubungna with oral fluid

Goal
Lack of volume of liquid does not occur

Intervention

Measure and record intake and output of body fluids
Monitor vital signs: Evaluation of pulse, capillary filling, skin turgor and mucous membranes
Collaboration with the team physician for the administration of intravenous fluids

Rational

Accurate documentation will help in identifying the discharge or replacement needs.
Indicators of circulating fluid volume and hydration needs intervention
Maintain circulating volume when oral intake is not sufficient and improve kidney function

Bibliography

Barbara Engram, Askep Medical Surgery, Volume 2, EGC, Jakarta.
Carpenito, Linda Sell, Nursing Diagnosis, Issue 8, EGC, 2000, Jakarta.
Doenges, Marlynn, E, Plan Nursing, Edition III, EGC, 2000, Jakarta.
Elizabeth, J, Corwin, monks Fatofisiologi pocket, EGC, Jakarta.
Esther, Monica, SKP, Medical Surgical Nursing (Gastrointestinal Approach), EGC, Jakarta.
Peter, M, Nowschhenson, Practical Aspects of Surgery for Beginners. Script Development Jakarta

Thank you for visiting our blog. In the future we continue to seek better in presenting good information. Don't forget to share the article Nursing in Patients with Appendiksitis this in social media.

Frequently searched keywords:

Nanda Nursing Diagnosis, nanda nursing diagnosis pdf, nanda nursing diagnosis for renal failure, nanda nursing diagnosis for diabetes mellitus, nanda nursing diagnosis for respiratory problems, nanda nursing diagnosis book+free download, nanda nursing diagnosis for respiratory failure, nanda nursing diagnosis list 2015 pdf, nanda nursing diagnosis for atrial septal defect, nanda nursing diagnosis 2015, nanda nursing diagnosis 2015 pdf, nanda nursing diagnosis 2015 to 2017, nanda nursing diagnosis free download, nanda nursing diagnosis list 2015 free download, nanda nursing diagnosis impaired gas exchange, nanda nursing diagnosis ppt, nanda nursing diagnosis classification, nanda nursing diagnosis care plans examples, nanda nursing diagnosis for pericardial effusion, nanda nursing diagnosis, nanda nursing diagnosis list, nanda nursing diagnosis anxiety, nanda nursing diagnosis acute pain, nanda nursing diagnosis activity intolerance, nanda nursing diagnosis apa reference, nanda nursing diagnosis and interventions, nanda nursing diagnosis anemia, nanda nursing diagnosis acute pain related to, nanda nursing diagnosis altered mental status, nanda nursing diagnosis app, nanda nursing diagnosis acute pain related to surgery, nanda nursing diagnosis asthma, nanda nursing diagnosis and care plans, nanda nursing diagnosis and interventions for copd, nanda nursing diagnosis alcohol withdrawal, nanda nursing diagnosis and intervention pdf, nanda nursing diagnosis alzheimer's disease, nanda nursing diagnosis acute kidney injury, nanda nursing diagnosis and outcomes, nanda nursing diagnosis amazon, nanda nursing diagnosis apk, nanda nursing diagnosis book, nanda nursing diagnosis bleeding, nanda nursing diagnosis book pdf, nanda nursing diagnosis bipolar disorder, nanda nursing diagnosis breast cancer, nanda nursing diagnosis bowel obstruction, nanda nursing diagnosis borderline personality disorder, nanda nursing diagnosis burns, nanda nursing diagnosis bronchiolitis, nanda nursing diagnosis bronchitis, nanda nursing diagnosis body image disturbed, nanda nursing diagnosis bph, nanda nursing diagnosis back pain, nanda nursing diagnosis-blood transfusion, nanda nursing diagnosis ineffective breathing pattern, nanda nursing diagnosis traumatic brain injury, nursing diagnosis by nanda, nanda nursing care plan book, nanda nursing diagnosis copd, nanda nursing diagnosis chf, nanda nursing diagnosis cellulitis, nanda nursing diagnosis congestive heart failure, nanda nursing diagnosis cva, nanda nursing diagnosis.com, nanda nursing diagnosis community, nanda nursing care plan copd, www.nanda nursing care plan.com, nanda nursing diagnosis diabetes, nanda nursing diagnosis definition, nanda nursing diagnosis decreased cardiac output, nanda nursing diagnosis dementia, nanda nursing diagnosis diabetes mellitus type 2, nanda nursing diagnosis definition and classification, nanda nursing diagnosis depression, nanda nursing diagnosis disturbed thought processes, nanda nursing diagnosis diarrhea, nanda nursing diagnosis deficient knowledge, nanda nursing diagnosis dehydration, nanda nursing diagnosis deficient fluid volume, nanda nursing diagnosis defining characteristics, nanda nursing diagnosis download, nanda nursing diagnosis diabetes mellitus, nanda nursing diagnosis diabetic ketoacidosis, nanda nursing diagnosis dvt, nanda nursing diagnosis diverticulitis, nanda nursing diagnosis dengue fever, nanda nursing diagnosis examples, nanda nursing diagnosis electrolyte imbalance, nanda nursing diagnosis excess fluid volume, nanda nursing diagnosis epilepsy, nanda nursing diagnosis ebook free download, nanda nursing diagnosis edema, nanda nursing diagnosis elsevier, nanda nursing diagnosis end stage renal disease, nanda nursing diagnosis elimination, nanda nursing diagnosis emphysema, nanda nursing diagnosis endocarditis, nanda nursing diagnosis ectopic pregnancy, nanda nursing diagnosis encephalopathy, nanda nursing diagnosis pleural effusion, nanda nursing diagnosis for urinary elimination, nanda nursing care plan examples, nanda nursing wellness diagnosis examples, nanda nursing diagnosis for elderly, nanda nursing diagnosis for epistaxis, nanda nursing diagnosis for hypertension, nanda nursing diagnosis for pneumonia, nanda nursing diagnosis for pain, nanda nursing diagnosis for copd, nanda nursing diagnosis for anemia, nanda nursing diagnosis for anxiety, nanda nursing diagnosis for chf, nanda nursing diagnosis for asthma, nanda nursing diagnosis fever, nanda nursing diagnosis for psychosocial, nanda nursing diagnosis for 2014, nanda nursing diagnosis for 2015, nanda nursing diagnosis for, nanda nursing diagnosis grieving, nanda nursing diagnosis gi bleed, nanda nursing diagnosis generalized anxiety disorder, nanda nursing diagnosis gastrointestinal, nanda nursing diagnosis gastritis, nanda nursing diagnosis gordon's functional health patterns, nanda nursing diagnosis gout, nanda nursing diagnosis guidelines, nanda nursing diagnosis gerd, nanda nursing diagnosis gestational diabetes, nanda nursing diagnosis glaucoma, nanda nursing diagnosis gi, nanda nursing diagnosis geriatrics, nanda nursing diagnosis gangrene, nanda nursing diagnosis gallstones, nanda nursing diagnosis for gastroenteritis, nanda nursing diagnosis for gestational diabetes mellitus, nanda nursing diagnosis for guillain barre syndrome, nanda nursing diagnosis for gastroparesis, nanda nursing diagnosis hypertension, nanda nursing diagnosis handbook, nanda nursing diagnosis heart failure, nanda nursing diagnosis how to write, nanda nursing diagnosis hyperthermia, nanda nursing diagnosis hypoglycemia, nanda nursing diagnosis hypotension, nanda nursing diagnosis health promotion, nanda nursing diagnosis hopelessness, nanda nursing diagnosis hyperlipidemia, nanda nursing diagnosis high blood pressure, nanda nursing diagnosis hernia, nanda nursing diagnosis handbook free download, nanda nursing diagnosis hemorrhoids, nanda nursing diagnosis hyperglycemia, nanda nursing diagnosis hypothermia, nanda nursing diagnosis head injury, nanda nursing diagnosis hypothyroidism, nanda nursing diagnosis hyponatremia, nanda nursing diagnosis hip fracture, nanda nursing diagnosis in pregnancy, nanda nursing diagnosis is, nanda-i nursing diagnosis list, nanda-i nursing diagnosis list 2012, nanda nursing diagnosis jaundice, nanda nursing diagnosis journal, nanda nursing diagnosis for degenerative joint disease, nanda nursing care plan for juvenile diabetes, nanda nursing diagnosis knowledge deficit, nanda nursing diagnosis knowledge deficit diabetes, nanda nursing diagnosis kidney failure, nanda nursing diagnosis knowledge deficit related to medication, nanda nursing diagnosis knowledge deficit breastfeeding, nanda nursing diagnosis kidney stones, nanda nursing diagnosis knowledge deficit medication, nanda nursing diagnosis knee replacement, nanda nursing diagnosis knowledge, nanda nursing diagnosis for kawasaki disease, nanda nursing diagnosis for kidney transplant, nanda nursing diagnosis chronic kidney disease, nanda nursing diagnosis for kidney disease, nanda nursing diagnosis for knee surgery, nanda nursing diagnosis for kidney cancer, nanda nursing diagnosis for ketoacidosis, nanda nursing diagnosis for kwashiorkor, nanda nursing diagnosis list 2013, nanda nursing diagnosis list 2012, nanda nursing diagnosis list 2011 pdf, nanda nursing diagnosis list 2012 pdf, nanda nursing diagnosis leukemia, nanda nursing diagnosis list 2014, nanda nursing diagnosis list 2015, nanda nursing diagnosis list for newborns, nanda nursing diagnosis labor delivery, nanda nursing diagnosis list pdf, nanda nursing diagnosis list for pneumonia, nanda nursing diagnosis list for hypertension, nanda nursing diagnosis list with definitions, nanda nursing diagnosis list for pediatrics, nanda nursing diagnosis labels, nanda nursing diagnosis list for chf, nanda nursing diagnosis list for copd, nanda nursing diagnosis mrsa, nanda nursing diagnosis mental health, nanda nursing diagnosis must include, nanda nursing diagnosis medication compliance, nanda nursing diagnosis myocardial infarction, nanda nursing diagnosis maternity, nanda nursing diagnosis malnutrition, nanda nursing diagnosis meningitis, nanda nursing diagnosis multiple myeloma, nanda nursing diagnosis major depressive disorder, nanda nursing diagnosis-multiple sclerosis, nanda nursing diagnosis mi, nanda nursing diagnosis metabolic acidosis, nanda nursing diagnosis mental retardation, nanda nursing diagnosis mental illness, nanda nursing diagnosis muscle weakness, nanda nursing diagnosis maternal, nanda nursing diagnosis macular degeneration, nanda nursing diagnosis pain management, nanda nursing diagnosis nutrition, nanda nursing diagnosis noncompliance, nanda nursing diagnosis newborn, nanda nursing diagnosis nutrition less than body requirements, nanda nursing diagnosis nausea, nanda nursing diagnosis online, nanda nursing diagnosis obesity, nanda nursing diagnosis osteomyelitis, nanda nursing diagnosis osteoporosis, nanda nursing diagnosis obstetrics, nanda nursing diagnosis of mania, nanda nursing diagnosis of neurocysticercosis, nanda nursing diagnosis of diabetes mellitus, nanda nursing diagnosis of hernia, nanda nursing diagnosis on hypertension, nanda nursing diagnosis of pneumonia, nanda nursing diagnosis of inguinal hernia, nanda nursing diagnosis of meningitis, nanda nursing diagnosis of myocardial infarction, nanda nursing diagnosis of fracture, nanda nursing diagnosis of nephrotic syndrome, nanda nursing diagnosis of peptic ulcer, nanda nursing diagnosis of schizophrenia, nanda nursing diagnosis on fever, nanda nursing diagnosis of tuberculosis, nanda nursing diagnosis pain, nanda nursing diagnosis pneumonia, nanda nursing diagnosis psychosocial, nanda nursing diagnosis pregnancy, nanda nursing diagnosis pain acute, nanda nursing diagnosis pdf 2014, nanda nursing diagnosis pdf free download, nanda nursing diagnosis postpartum, nanda nursing care plan pneumonia