Appendicitis is an inflammation of the appendix, an additional function as the bag is not located on the inferior and the cecum. The most common cause of appendicitis is obstruction of the lumen by fecal supply eventually undermine and erode the mucosal blood flow, causing inflammation (Wilson & gold man, 1989).
Type of Appendicitis :
1. Acute appendicitis (sudden).
Symptoms of acute appendicitis are fever, nausea, vomiting, decreased appetite, pain around the navel which is then localized in the lower right abdomen, pain worse for walking, but not everyone will show symptoms like this, it could also just be chills, or nausea - vomiting only.
2. Chronic appendicitis.
Symptoms of chronic appendicitis bit similar to stomach acid pain where there is a faint pain (dull) in the area around the navel and sometimes intermittent fever. Often accompanied by nausea, sometimes vomiting, and pain that moves to the right lower abdomen with the typical signs of acute appendicitis.
Spread of pain will depend on the direction of the position / location of the appendix to the colon itself, If the tip of the appendix touching the urinary tract, the pain will be the same as the sensation of urinary tract colic pain, and there may be a urinary disorders. When the position of the appendix to the back, the pain appeared to puncture rectal examination or vaginal puncture . In another appendix position, the pain may not be specific.
Nursing Care Plan for Appendicitis
Acute pain related to intestinal distension
- respiratory tachypnea,
- circulation tachycardia,
- epigastric pain radiating to the local area Mc Burney,
- clients complained of feeling pain lower right area.
Goal: pain is resolved
- normal breathing,
- normal circulation
- Assess the level of pain, location and characteristics
- Encourage deep breathing
- Give analgesics