PATHOPHYSIOLOGY OF APPENDICITIS

PRECIPITATING FACTORS DIET: LOW FIBER

PREDISPOSING FACTORS AGE GENDER: MALE HEREDITARY

Obstruction of the appendix lumen Increased intraluminal pressure Impaired blood flow Necrosis; bacteria invasion Disruption of cell membrane

Start of Inflammatory Process

Release of chemical mediator y y y abdominal swelling pain in the RLQ of abdomen increased WBC

Activation of the Vomiting Center in the Medulla y y Nausea and vomiting Risk for deficient volume Loss of appetite Risk for imbalanced nutrition less than body requirements

Appendicitis APPENDECTOMY

Fever

Tissue trauma Open wound Impaired tissue integrity Risk for infection

Peritonitis
APPENDECTOMY with EXPLORE LAPAROTOMY Legend: Bold signs and symptoms Italicized nursing diagnosis Underlined - medical procedure complication