Appendicitis: Assessment

Appendicitis- Assessment

Appendicitis: Assessment

  • Pain (RLQ)
  • Anorexia
  • Increased temperature,
  • Nausea
  • Signs (McBurney’s, Psoas)

Nursing Interventions

  • Make sure the patient with suspected or unknown appendicitis receives nothing by mouth until surgery is performed.
  • Administer I.V. fluids to prevent dehydration.
  • Never administer cathartics or enemas because they may rupture the appendix.
  • Don’t administer analgesics until the diagnosis is confirmed because they mask symptoms. Once the diagnosis is confirmed, analgesics maybe given.
  • Place the patient in fowler’s position to reduce pain. Never apply heat to the right lower abdomen; this may cause the appendix to rupture.
  • Once the diagnosis is confirmed, prepare the patient for surgery.
  • If peritonitis occurs, nasogastric drainage may be necessary to decompress the stomach and reduce nausea and vomiting.
  • Monitor the patient’s vital signs.
  • Assess intake and output for signs of hydration, such as hypotension or fluid imbalance.
  • Evaluate the severity and location of abdominal pain. Notify doctor immediately if pain suddenly ceases.
  • Observe the patient for complications, such as peritonitis, appendiceal abscess, and pyelophlebitis.