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About Appendicitis Care
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About Appendicitis Care
[Abstract] appendicitis is one of the most common surgical acute abdomen. Can occur at any age, and young adults are particularly common, accounting for around 40%. Treatment is not difficult, but misdiagnosis and delayed treatment may cause more serious consequences, the mortality rate of 0.1% -0.2%. Common clinical acute appendicitis and chronic appendicitis. Described here only in acute appendicitis.
[Keywords:] appendicitis in surgical care [Clinical nursing] 1. Non-surgical treatment and care (1) fasting, to reduce the stimulation of the appendix.
(2) rest, semi-recumbent position, to relieve pain.
(3) intravenous fluids, proper use of antibiotics, attention incompatibility.
(4) cooling, antiemetic, sedative and other symptomatic treatment, as far as possible free use of analgesics, against heat, enema.
(5) observing closely, pay attention to the patient’s abdomen, the body, changes in white blood cells. Especially the elderly, children, more attention should be paid appendicitis during pregnancy. Once the pain increased, body temperature, increased white blood cell count, especially neutrophils increased, it is timely to surgery.
(6) make the patient’s psychological care, actively cooperate with the treatment.
2. Surgical treatment and care (1) General care: general care by general surgical diseases.
(2) preoperative care ① psychological care: There are fully prepared for surgery, especially for the elderly, children, patients with appendicitis during pregnancy, should stabilize the patient’s mood and establish the confidence to overcome the disease. ② complete the necessary preoperative testing: blood, urine, then three conventional, out, clotting time, female patients for gynecological examination should be. ③ observe: To observe the situation and whether the abdomen fever. rehydration and the use of antibiotics when necessary. ④ perform preoperative orders
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