Gastrointestinal Disorder (Part 3) Flashcards
(48 cards)
inflammation of the narrow tube attached to the base of the cecum.
Appendicitis
can cause
appendicitis
A blockage inside of the appendix
The main symptom____________________abdomen that gets worse over time
lower
right side
- The appendix is a small, thin pouch about
5 to 10cm (2 to 4
inches) long
It is typically cause d by direct (appendicitis) _________________________ and secondary to _________________
direct luminal obstruction; secondary to a faecolith or lymphoid hyperplasia,
Risk Factors
Appendicitis
Low-fiber diet
● High intake of refined carbohydrates
Abdominal pain that is most intense at (appendicitis)
McBurney’s
point
Patient’s guarding position (s/s)
Client in side-lying position, with abdominal guarding
and legs flexed
Pregnancy test. performed for women of
childbearing age to rule out
ectopic pregnancy and
before x-rays are obtained.
Protein produced by the liver
when bacterial infections occur and rapidly increases
within the first 12 hours.
What test/
C-reactive protein
Abdominal plain film showing radiopaque tubular
structure around the ileocecal junction in the right
lower quadrant
What test?
CT barium Scan
abdomen confirmed the
right psoas muscle abscess, which was caused by
perforated appendicitis into the retroperitoneum
What test?
Contrast-enhanced CT
test that palpates the lower left quadrant for appendicitis?
Rovsing’s signs
PHARMACOLOGIC INTERVENTION for appendicitis
Lactated Ringer’s solution 100–500 mL/hr of IV,
Antibiotics (broad-spectrum antibiotic coverage)
DOCUMENTATION
for appendicitis
PARL
Patient’s ability to ambulate and tolerate food
Appearance of abdominal incision (color, temperature,
intactness, drainage)
Response to pain medication, ice applications, and
position changes
Location, intensity, frequency, and duration of pain
● Response to pain medication, ice applications, an
Most important nursing responsibilities for patients with appendicities
DO NOT APPLY HEAT TO THE
ABDOMEN – could LEAD TO RUPTURE
Postoperative Nursing Diagnosis
appendectom
Risk for infection related to the surgical incision
If ruptured of appendix occurred, expect a
Penrose
drain to be inserted
Expect that drainage from the Penrose drain maybe
profuse for the first
2 hours.
COMPLICATIONS OF APPENDICITIS
APP
abscess
perforation of the appendix
● Peritonitis
chronic digestive and immune
disorder that damages the small intestine
Celiac disease
Gluten is a protein found naturally in wheat,
barley, and rye, and is common in foods such as
bread, pasta, cookies, and cakes.
The pathogenesis of disease involves interactions
between
environmental, genetic, and immunologic
factors.
DIAGNOSTICS
4 MARKERS FOR CELIAC DISEAS
CTED
- Celiac Disease Tests
- Tissue TransGlutaminase (tTG) immunoglobulin A
(IgA) and tTG immunoglobulin G (IgG) - EndoMysial Antibody (EMA) -IgA test.
- Deamidated Gliadin Peptide (DGP) -IgA and
DGP-IgG tests.
