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Appendicitis Interventions

Appendicitis-pen
Picmonic
Management of appendicitis focuses on early recognition of acute appendicitis. Because school age children often complain of abdominal pain, it is important to carefully assess for typical symptoms of appendicitis. Interventions associated with preoperative and postoperative appendectomy care are crucial to a successful outcome. Recovery after surgery is fairly rapid and complete.
9 KEY FACTS
TREATMENT
Appendectomy
Appendix-pen cut off by scalpel

Removing the appendix is the gold standard treatment for appendicitis. An appendectomy is surgical removal of the appendix.

PREOPERATIVE CARE
Antibiotics
ABX-guy

Antibiotics are often given preoperatively to help prevent infection before and after the surgery. Antibiotic treatment kills bacteria and stronger and longer courses of antibiotics are required if peritonitis occurs. 

IV Fluids
IV Fluid

IV fluids are given to maintain fluid and electrolyte balance. Additionally, patients should be kept on NPO status as the stomach should be empty prior to surgery.

No Enema or Laxative
No Enema-Emma and Pooping-pill

The use of enemas or laxatives are dangerous as the resulting peristalsis may cause perforation of the appendix.

POSTOPERATIVE CARE
Semi-Fowler's Position
Semi-supported Fowl in Fowler's Position

Placing the patient in semi-Fowler’s, especially if there is an infection, is an important intervention. Semi-Fowler’s is a position where the patient is supine with the head of the bed at a 30-45 degree angle with the knees straight or slightly bent. This allows for the infection to localize in the peritoneum and not ascend to the lungs, heart, etc. This position is preferred, as high-Fowler's may not be tolerated by patients.

Nasogastric Tube
Nose-stomach Tube

An NG tube is placed until GI motility returns. Be sure to assess bowel sounds.

Diet as Tolerated
Food as Chosen

The diet is advanced as tolerated.

Pain Management
Pain-pill-hero

Pain management is an important intervention not only to keep the patient comfortable, but to promote early ambulation, which decreases the risk of developing complications and aids in recovery time. Analgesics are commonly used to manage pain.

Early Ambulation
Early-sun Walking

Ambulation should begin the day of surgery or the first postoperative day. Encouragement of early ambulation decreases the risk of possible postoperative complications and aids in recovery time.

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