ROBLES , Chede Anne Chonette C.

Presented on September 24, 2009

BSN IV-C
PATHOPHYSIOLOGY

Predisposing: Ruptured appendicitis with generalized Precipitating:

peritonitis; post exploratory laparotomy
Age: 15 years old eating habits
Post Lack of exercise
Race Diet
Low fiber diet
Obstruction of the
fecalith

Congestion of fecalith

Increase pressure in the lumen

Decrease mucosal blood flow

Appendix become hypoxic

Monocyte 0.09%
Infection in appendix

Lymphocyte -0.07 %
PAIN Inflammation /edema

Abscess formation FEVER T-38.2

Gangrene/ necrosis

Rupture of Appendix METRONIDAZOLE

PERITONITIS ZEGEN

G. I
destruction
Bowel Electrolyte
distention imbalance

Paralytic ileus

Increase Sodium-131 mmol/L

abdominal
pressure
WEAKNESS
N&V
O – Observed general condition of patient
Noted clients age and current condition
Noted location of surgical
incision/procedures Exploratory laparotomy with
Observed non verbal cues
M – Used pain rating scale as appropriate
appendectomy
for age
Monitored and check vital signs
Provided comfort measures and quiet O – Noted presence of factors
environment Evaluated client’s actual and
MODERATE WEAKNESS
Pain
E – (ABDOMEN,
Encouraged incision
verbalization
site) of feeling perceived limitation of deficit in light of
about pain PARACETAMOL usual status
Encouraged diversional activities like
socialization to others Activity
M – Monitor intolerance
vital signs r/t
Instructed use of relaxation technique moderate
Provided body measures
comfort weakness and
Acute pain related to
such as deep breathing exercises Positive atmosphere
surgical incision
Assisted in ambulation
Auscultated and noted bowel sounds
Impaired mobility r/t pain upon moving
E – Encouraged early ambulation
2˚ post exlap. With appendectomy
Instructed client to stay in a semi-
BY: Chede Anne Chonette C. Robles