sudden onset, abdominal guarding, umbilical pain in RLQ (McBurney
point), nausea, vomiting, shallow breathing, pt laying with knees flexed
Appendicitis s/s
pre-surgical antibiotics, pain meds, ice packs @ site, then laparoscopic
surgery, post-op assessments, monitor for complications
Appendicitis treatment
arteries push blood down to your feet and the veins bring blood back up
Arteries vs Veins
pale color; thick and brittle nails; pain sudden/severe, worse w/
elevation and exercise, claudication; decreased, weak or absent pulses;
Assessment of arterial disease cool temp.; dry/necrotic ulcer
ruddy, cyanotic color; edema; pain better with elevation, aching pain
Assessment of venous disease worse throughout day; warm temp.; moist ulcer
the appendix rupturing or having a gangrenous tip which can leak into
Biggest concern of appendicitis the peritoneum and cause peritonitis
unknown, GI problems, infection, gall bladder issues, pancreatitis, side
Cause of N/V effects of chemo meds
, Complete obstruction EMERGENCY, there is no blood flow, surgery is needed
can happen anywhere in the GI tract, most commonly occurs in the
terminal ileum and colon; inflammation involves all layers of the
Crohn's disease intestine and there can be areas of normal bowel between the diseased
bowels
fistulas, sores or ulcers that tunnel through the intestine and have stool
Crohn's disease complications moving to wherever it tunnels to; risk for peritonitis
abdominal pain, diarrhea, frequent bowel movements; if it occurs higher
in intestinal tract and involve some of small intestine you can have more
Crohn's disease S/S nutritional problems
surgery is a last resort because it can effect any part of intestinal tract
Crohn's disease treatment
Deep vein thrombosis (DVT) pulling of blood that forms a blood clot in venous system
the expelling of gastric content
Definition of nausea and vomiting
electrolyte imbalance, concentrated urine, dizziness, thirsty, dry mouth,
Dehydration S/S lethargy
Drugs prescribed for treatment of Pentoxifylline (Trental): ↓ blood viscosity
intermittent claudication Cilostazol (Pletal): ↑ vasodilation and walking distance