Pediatric Nursing Case

An appendicectomy (or appendectomy) is the surgical removal of the vermiform appendix. This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis. In the absence of surgical facilities, intravenous antibiotics are used to delay or avoid the onset of sepsis; it is now recognized that many cases will resolve when treated non-operatively. In some cases the appendicitis resolves completely; more often, an inflammatory mass forms around the appendix. This is a relative contraindication to surgery.

With my BSN from Catholic University, I was hired at the Children’s Hospital of Philadelphia, where I began my career, developing the utmost passion for being a pediatric nurse, caring for the pediatric patient population in a hospital setting. I found myself drawn to the family-centered care with evidence-based practice as a foundation for the type of nurse I would become. Empathizing with families and what they are going through in an emergency department, while trying to provide the best, most innovative care for their children, became my priority. I began to desire more, wanting to see more of the country and continue to practice as a nurse in the Pediatric Emergency Department. I decided to become a traveling nurse, packed my bags and experiences and took the initiative to see and do what I could on my own.

Appendicitis is defined as an inflammation of the inner lining of the appendix that spreads outwards to its other parts.. Variations in the position and size of the appendix, age of the patient, and degree of inflammation make the clinical presentation of appendicitis very inconsistent between patients. The most common symptom of appendicitis is abdominal pain. Appendicitis symptoms begin as periumbilical or epigastric pain migrating to the right lower quadrant of the abdomen. An inflamed appendix near the urinary bladder or ureter can cause hematuria or pyuria. Appendicitis is most common between the ages of 10 and 40, and the median age is 28. Appendicitis tends to affect males more so than females. In 2013 it resulted in 72,000

Twelve-year-old Hispanic male D.C. presented to Advocate Illinois Masonic Medical Center Emergency Department the morning of May 14, 2015, accompanied by his mother, for complaints of abdominal pain and vomiting that began that morning at 0100. While in the ED, D.C. complained of abdominal pain which he rated ten out of ten, so he was given a GI cocktail with Pepto-Bismol, as well as morphine for pain and Zofran for nausea, and his pain decreased to seven out of ten. Due to D.C.’s complaints of abdominal pain, which included his right lower quadrant, the ED physician caring for him ordered an ultrasound of his appendix. This ultrasound was non-diagnostic, as D.C.’s appendix was not visualized. Because he had a clinical

Roughly 15% of acute abdominal pain cases presenting to emergency department are of intestinal obstruction. Manifestation of intestinal obstruction can vary from fairly suitable appearance with mild abdominal pain and distension to a state of hypovolemia or septic shock (or each) requiring an emergency operation. Despite the fact that the mortality due to intestinal obstruction is reduced with higher information of pathophysiology, development in diagnostic techniques, fluid and electrolyte correction, potent anti-microbials and surgical control, nonetheless mortality ranges from 3% for simple obstruction to as high as 30% whilst there's vascular compromise or perforation of the obstructed bowel. That is further influenced by way of the medical

The site and severity of pain during an appendicitis may vary. Pain will come from the top of the abdomen if experiencing pregnancy due to the position of the appendix being raised. Its is drastically important to immediately see a doctor if you are experiencing these symptoms. This will help avoid any further complications. If the appendix is not removed or treated quickly, within 24 to 72 hours after symptoms begin, a rupture may take place (See Appendix A for removal image).

Appendectomy the surgical removal of the small pouch attached to the beginning of your large intestine when you have a cube out of appendicitis is one of the most common emergency abdominal surgeries. the appendix is a small finger shape organ that comes out of the first part of the large intestine, it needs to be removed when it becomes swollen and infected, If the appendix is not removed it can leak bacteria and infect the entire abdomen area which can be very life threatening.

The signs of acute appendicitis which are measured by a health care professional is fluid levels are limited caecum and terminal ileum which shows

According to Wong’s Essentials of Pediatric Nursing, the main goal of a pediatric nurse is to improve and promote the quality of health and wellbeing of a child. (Hockenberry, 2012). Pediatric nurses work with children of all ages in a variety of settings, such as the intensive care unit, emergency department, surgical floor, and basic inpatient settings where they promote and improve children’s health and wellbeing through various treatments and support. The purpose of this paper is to understand the roles of pediatric nurses and how they impact their clients. Since child illness is delicate and complex, it not only impacts the child, but also their family, thus leading to the main question being studied: how does the role of a pediatric nurse impact the family of the child? The resources being academic or peer reviewed articles and journals were gathered through reliable search engines, Google Scholar and Elsevier. In order to narrow down findings, a variety of abstracts were reviewed and the top three holding the most relevant, qualitative information were chosen.

Weekends in the emergency department often bring about long hours performing arduous duties. On a saturday night with midnight approaching, entered a seventeen year old boy in obvious despair. The young man presented doubled over in agony along with active vomiting. Having encountered this scenario many times before, my immediate thought was appendicitis. There are many clinical markers that can lead one to suspect appendicitis, yet one seemingly odd test comes to mind initially more than any other. When I encounter a patient potentially experiencing appendicitis, I will ask them to hop on one foot. After receiving a befuddled stare and asked to repeat the request, the patient apprehensively responds. If they are able to complete the task, then it’s not appendicitis; However, if they are unable to complete this task then appendicitis is likely the culprit of this relentless lower pain. Although this is not a typical test involved while triaging patients with abdominal pain, It comes from something I was taught by a preceptor years ago. I have added this test to every patient encountered with signs and symptoms of appendicitis, and it has predicted the outcome nearly every time. Asking this seventeen year old to do this resulted in the usual confusing look with delayed response. To my surprise, he was able to complete the task with little to no change in pain. After completing this exercise, I began thinking of all other possibilities that would lead to the boys pain.

Many in medicine have found that they love the blood and gore of surgery and dream of someday running an emergency situation in which involves an immediate surgery. Acute appendicitis is the most common surgical abdominal emergency. Delayed treatment increases the incidence of complications. The aim of this study was to investigate the presentation, incidence, and predictors of complications, and histological findings in adult patients with clinical diagnosis of acute appendicitis.

C) Pharmacy student: The most appropriate classification for JS’s appendicitis is high-risk community acquired infection.

On admission, all patients received intravenous broad spectrum antibiotic as soon as the diagnosis of ACC was established. When

Differential diagnoses important to consider are appendicitis and irritable bowel syndrome. Appendicitis is an acute inflammation of the appendix and is often missed by clinicians (Cox & Sovak, 2015). In this case, appendicitis is unlikely as the patient does not display signs and symptoms indicative of appendicitis. During the physical exam the McBurney’s point, Rovsing’s sign, Obturator, and Psoas all yielded negative results. Also, E.L. is complaining of pain to the hypogastric area and denies pain specifically located in the right lower quadrant or rebound tenderness. These findings do not support a diagnosis of appendicitis.

Appendicitis is the inflammation of the appendix and in most cases cause pain in the abdomen on the lower right hand side and can be felt as a radiating pain (Barlow et al., 2013). Treatment of appendicitis can be surgery to remove the appendix after sufficient antibiotic treatment has been received. If it is too dangerous to operate the health professional may decide that just giving antibiotic is all they can do (McKinley, O’Loughlin, & Bidle, 2015). The appendix and the abscess is able to rupture if this has happened surgery is necessary and must happen straight away. The procedure to remove the appendix is known as an appendectomy (Sarkar, 2015). A doctor can perform this procedure as open surgery or through a laparoscopy depending on the situation (Ryan, 2011).