- Pain (RLQ)
- Increased temperature,
- Signs (McBurney’s, Psoas)
- 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.
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