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19 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Appendicitis |
inflammation of the appendix |
d/t occlusion of the appendices lumen by acclimated feces |
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Manifestation (Appendicitis) |
periumbilical pain -> RLQ, N, V, anorexia, rebound tenderness, guarding, |
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Complications (Appendicitis) |
peritonitis, perforation and abscess |
3 things |
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Diagnostic Studies (Appendicitis) |
-hx, differential WBC count, urinalysis |
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Treatment (Appendicitis) |
-surgical removal (appendectomy) -if appendix rupture and peritonitis present use antibiotic and parental fluid (dehydration and prevent sepsis) |
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Nursing Mangement |
-NPO incase if is surgery needed -never use heat (risk of rupture) -observe for peritonitis -ambulatory asap (day of surgery or post op) |
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Peritonitis |
inflammation of the peritoneal cavity |
Inflammatory Disorder |
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Manifestation (Peritonitis) |
abdo pain, rebound tenderness, rigidity/spasm, distention ascites, fever, N, V, |
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Complications (Peritonitis) |
hypovolemic shock, abscess, organ failure |
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Diagnostic (Peritonitis) |
-CBC (WBC + Hemo concentration) elevated -Ultrasound/CT, Peritoneoscopy -Biopsy, Radiograph, -Aspiration of Peritoneal |
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Collaborative Therapy: |
Antibiotic, NG suction, analgesic, IV fluid, |
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Nursing Mangement |
-supportive care: monitor for spsis, pain, -quiet environment, sedatives, -monitor intake/output -NPO, NG |
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Diverticulosis: |
non inflamed free of symptoms or have alternation periods of constipation or diarrhea |
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Diverticulitis: |
inflammation of the diverticula |
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Diverticula/Diverticulum |
may occur at any point usually sigmoid colon/ out pouching in the intestinal wall |
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Manifestation Diverticulosis/ Diverticulitis |
Diverticulosis: usually no symptoms; crampy abdominal pain LLQ relieved by bowel movement or passing gas Diverticulitis: pain in colon, tenderness, fever, chills, nausea, anorexia. (Infection Symptoms) |
OA are afebrile, normal WBC, little ab tenderness |
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Complications Diverticulosis/ Diverticulitis |
-peritonitis, obstruction, fistula, bleeding |
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Diagnostic Diverticulosis/ Diverticulitis |
CT, CBC, Urinalysis, FOBT, Colonoscopy |
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Nursing & Collaborative Care: |
-fibre supplement, high-fibre diet -stool softener, clear liquid diet, antibiotic, fluids, bed rest -NPO status -observe for signs of peritonitis -parenteral fluids for hydration |
allow colon to rest* N inflammation to subside NO Food NPO |
