APPENDICITIS

 

Inflammation of the vermiform appendix treated by a surgical removal of the vermiform appendix called Appendectomy.

 

 NURSING INTERVENTIONS:

 

PREOPERATIVE STAGE

 

      Give psychological support to the patient and his/her family.

      The patient must rest before the surgical procedure. Use sedatives if necessary.

      Monitor the vital signs of the patient: Blood pressure, temperature, pulse, and respirations.

      Weight and size the patient for the correct dose of anesthesia.

      Shave the patient carefully if necessary, to avoid lesions of the skin and excoriations.

      Put enemas if necessary.

      Put nasogastric tubes and vesical tubes.

      Pipe a vein.

      Hydrate the patient.

      Check the IV infusion.

      Put a blood infusion as ordered. Be careful with blood group and other important measures.

      Take the patient to the Surgical Unit.

 

POST-OPERATIVE STAGE

 

      Put the patient in correct position.

      Monitor the vital signs of the patient: Blood pressure, temperature, pulse and respirations every two hours or as ordered.

      Open the nasogastric and vesical tubes to their corresponding containers.

      Measure diuresis.

      Check the color of the skin and mucosa.

      Observe if the patient is well oriented to time, place and person.

      Make systematic gas studies

      Change the position of the patient in bed to avoid respiratory tract complications and bedsores.

      Make the patient stand up and walk after drainages are taken off.

      Give the adequate psychological support to the patient. Try to get better his/her mood by means of TV, listening to music, reading a book, magazines, etc.

      Cure of the wound daily, following the asepsis and antiseptic required measures.

      Administer medications prescribed by the doctor on time.

      Observe the patient's reactions.

      Write the observation, the treatment, the control of the drainages, measurement of diuresis, aspirations, or any possible complication on the patient's chart.

      Give the patient the adequate diet.

      Explain the disease to the patient and his/her family and its possible complications

      Give sanitary education to the patient and his/her family in relation with his/her disease, surgical procedures, personal and environmental hygiene.

      After the patient is discharged, explain him/her the importance of the correct management, to be followed up periodically and to follow the corresponding diet.