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    Nursing Care Plan For Appendicitis NCP

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    deric
    This nursing care plan addresses a patient experiencing appendicitis who presents with signs of dehydration such as thirst, poor skin turgor, and chapped lips. The plan diagnoses the patient with a fluid volume deficit due to loss of fluids from nausea and vomiting caused by a blocked appendix. It outlines interventions to monitor fluid intake and output, establish IV access to replace lost fluids, and give antiemetics to reduce vomiting. The goal is for the patient to maintain normal vital signs and fluid balance within 8 hours.

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    Nursing Care Plan For Appendicitis NCP

    Uploaded by

    deric
    81K views2 pages
    This nursing care plan addresses a patient experiencing appendicitis who presents with signs of dehydration such as thirst, poor skin turgor, and chapped lips. The plan diagnoses the patient with a fluid volume deficit due to loss of fluids from nausea and vomiting caused by a blocked appendix. It outlines interventions to monitor fluid intake and output, establish IV access to replace lost fluids, and give antiemetics to reduce vomiting. The goal is for the patient to maintain normal vital signs and fluid balance within 8 hours.

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    Nursing Care Plan for

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    Nursing Care Plan for Appendicitis NCP

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    This nursing care plan addresses a patient experiencing appendicitis who presents with signs of dehydration such as thirst, poor skin turgor, and chapped lips. The plan diagnoses the patient with a fluid volume deficit due to loss of fluids from nausea and vomiting caused by a blocked appendix. It outlines interventions to monitor fluid intake and output, establish IV access to replace lost fluids, and give antiemetics to reduce vomiting. The goal is for the patient to maintain normal vital signs and fluid balance within 8 hours.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    81K views2 pages

    Nursing Care Plan For Appendicitis NCP

    Uploaded by

    deric
    This nursing care plan addresses a patient experiencing appendicitis who presents with signs of dehydration such as thirst, poor skin turgor, and chapped lips. The plan diagnoses the patient with a fluid volume deficit due to loss of fluids from nausea and vomiting caused by a blocked appendix. It outlines interventions to monitor fluid intake and output, establish IV access to replace lost fluids, and give antiemetics to reduce vomiting. The goal is for the patient to maintain normal vital signs and fluid balance within 8 hours.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Student Nurses Community

    NURSING CARE PLAN Appendicitis


    ASSESSMENT

    DIAGNOSIS

    SUBJECTIVE:
    Nasusuka at
    nauuhaw ako palagi
    (I always feel
    naseous and
    thirsty) , as
    verbalized by the
    patient

    Fluid Volume Deficit


    related to loss of
    fluids secondary to
    nausea, vomiting

    OBJECTIVES:
    Poor skin turgor
    Chapped and
    dry lips
    VS as taken

    INFERENCE

    Blockage of lumen
    of appendix

    mucus produced by
    mucous appendix
    suffer dam

    Increased
    intraluminal
    pressure

    Inflammation
    T 36.8
    P 103
    R 17
    BP 80/50

    PLANNING
    After 8 hours or
    nursing
    intervention, the
    patient will be able
    to maintain body
    fluid balance by
    having:
    Normal BP
    Normal pulse
    rate
    Do not complain
    of thirst
    Balance
    between intake
    and output

    INTERVENTION

    EVALUATION

    To serve as a
    basis to monitor
    the balance of
    fluids in the
    body that are
    needed for daily
    metabolism

    After 8 hours of
    nursing
    intervention, goal
    met.
    Patients BP and
    pulse rate are in
    normal range
    (BP 110/80 P89);

    To find out the


    less interstitial
    fluid / loss can
    lead to loss of
    skin elasticity.

    The output is
    balanced with
    the patients
    fluid intake in 24
    hours

    A dry mucous
    membrane is an
    indication of
    dehydration

    The patient does


    not complain of
    thirst.

    Independent:
    Record intake
    and output

    Monitor skin
    turgor

    Observe for dry


    mucous
    membranes

    Edema and
    ulceration

    Pain in the
    epigastrium
    radiating to the

    RATIONALE

    Give fluid little


    by little but
    often, as
    appropriate
    Monitor urine

    To minimize loss
    of fluids

    Reduced amount

    Student Nurses Community


    lower right
    abdomen

    Pain
    stimulus/irritant is
    sent to enteric
    plexuses

    Nausea and
    vomiting
    Are induced

    output
    Per hour and
    shift

    Dependent:
    Establish IV
    access and
    replace GI
    losses,
    volume/volume

    of urine and its


    concentration
    indicate reduced
    fluid in the body.

    To restore fluids
    and electrolytes
    lost via IV since
    oral intake is
    limited due to
    nausea and
    vomiting

    Loss of body fluid

    Dehydration

    Give antiemetics
    as ordered

    To reduce
    vomiting

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