Case study about post appendectomy

Depending on how the appendectomy is performed (lappy or old fashion cut) which depends on if it was perfed or not depends on the outcome.

A lap appy usually has small incisions one on the right and left of the abdomen and one in the umbilicus. These are usually covered with steristrips. Pt is started on a clear diet if bowel sounds audible or pt passing gas. Then progressed to a regular diet as tolerated. Meds are usually unasyn or amp but can be any antibiotic. I have seen so many different ones used. Pt usually gets 3 doses of toradol for pain within 24 hours and then tylenol. If tylenol isn't helping with pain they may go home with some tylenol #3 prescription.

A perfed appy is a little different. They usually make a small incision about 3-4 inches on the right lower side of the abdomen. sometimes they use steristrips to close and sometimes stitches...depends on the patient... more than likely steristrips though. Depending on how well they can clean out the infection they patient may require to have a NGT salem sump or something in that order hooked up to low wall suction for a day or two then to gravity. While the NGT is hooked to suction the patient is NPO. After a day or two the pateint will be started on clears and advanced as tolerated. They will also be given antibiotics IV. I have seen some patients get a picc line placed if they are a hard stick so that they aren't constatly getting replacement IV's. I have also seen them on clear diet and put on HAL and LIPIDs for a week or so to get them back up to normal.

Either way both patients will be on IVF while they are NPO or if they aren't tolerating any kind of diet. Usually D5 1/2 NS with 20K but it could be anyhting.

Hope this helps!

Depending on how the appendectomy is performed (lappy or old fashion cut) which depends on if it was perfed or not depends on the outcome.

A lap appy usually has small incisions one on the right and left of the abdomen and one in the umbilicus. These are usually covered with steristrips. Pt is started on a clear diet if bowel sounds audible or pt passing gas. Then progressed to a regular diet as tolerated. Meds are usually unasyn or amp but can be any antibiotic. I have seen so many different ones used. Pt usually gets 3 doses of toradol for pain within 24 hours and then tylenol. If tylenol isn't helping with pain they may go home with some tylenol #3 prescription.

A perfed appy is a little different. They usually make a small incision about 3-4 inches on the right lower side of the abdomen. sometimes they use steristrips to close and sometimes stitches...depends on the patient... more than likely steristrips though. Depending on how well they can clean out the infection they patient may require to have a NGT salem sump or something in that order hooked up to low wall suction for a day or two then to gravity. While the NGT is hooked to suction the patient is NPO. After a day or two the pateint will be started on clears and advanced as tolerated. They will also be given antibiotics IV. I have seen some patients get a picc line placed if they are a hard stick so that they aren't constatly getting replacement IV's. I have also seen them on clear diet and put on HAL and LIPIDs for a week or so to get them back up to normal.

Either way both patients will be on IVF while they are NPO or if they aren't tolerating any kind of diet. Usually D5 1/2 NS with 20K but it could be anyhting.

Hope this helps!

thanks you very much mam.it helps a lot on my study