Please enable JavaScript.

Coggle requires JavaScript to display documents.

appendicitis done (s/s (↓ GI motility (N & V, anorexia, diarrhea &…

- - - - flexing right hip, knee rotate leg inernally
      - hypogastric pain indiacte inflammation of obturator muscle
- - - - suppose to lower to 2-3/10 pain scale
      - don't give it / antipyreticsto mask fever
- - - - CT scan
      - ab ultrasound
- - - - infection
        
        ischemia
        
        necrosis
        
        perforation
    - - bacterial proliferation & inflammation
- - - - if abscess / rupture / peritonitis
        
        use of incision drain
    - - NPO, IV, consent
      - pain relief
        
        semi fowler with knee up
        
        restrict ambulation
      - meds
        
        Analgesic
        
        tramodal imi 50-100mg Q4H-6H prn
        
        Antiemetic (Maxolon)
        
        prophylactic antibiotics
        
        cephalosporin
        
        cefuroxime (zinacef)
        
        antiamoebic
        
        Metronidazole (Flagyl)
      - monitor pain pattern
    - - surgeries
        
        maintain drain
      - GA
        
        Pulomanary
        
        monitor bowel movement
        
        ambulation
      - GI surgeries
        
        Antibiotics
        
        NPO
      - bed restricted
        
        deep vein thrombosis