Appendicitis care mainly includes postoperative care and non-surgical treatment care, which are different as follows.
1. Post-operative care:
(1) Observation of condition: mainly vital signs and abdominal signs;
(2) Position and activity: those with stable vital signs take semi-recumbent position for early activity;
(3) Diet: temporary fasting before the recovery of intestinal peristalsis should be parenteral nutrition, and gradually resume the diet and care of the abdominal drainage tube after anal exhaustion;
(4) Nursing care of abdominal drainage tube: fix it properly, keep it unobstructed, pay attention to asepsis, and observe the color and amount of drainage fluid;
(5) Nursing care of complications: prevention and treatment of bleeding, incision infection, adhesive intestinal obstruction, appendiceal stump inflammation, as well as fecal fistula and intestinal fistula.
2. Nursing care of non-surgical treatment:
(1) Observation of condition: including vital signs, abdominal pain and abdominal signs;
(2) Avoiding increased intestinal pressure: fasting, gastrointestinal decompression if necessary, and parenteral nutrition at the same time;
(3) Control infection: use broad-spectrum antibiotics (e.g. cephalosporins, etc.) as prescribed by the doctor, perform abscess puncture and fluid extraction in case of abscess formation, and lower the temperature in case of high fever;
(4) Pain relief: semi-recumbent position, sedation, analgesic and antispasmodic drugs (such as scopolamine, etc.) as prescribed by the doctor;
(5) Complications of care: complication of abdominal abscess take ultrasound-guided puncture pumping pus, irrigation or tube drainage, if necessary, ready for emergency surgery.
Please follow the doctor’s instructions for proper nursing care, and inform the doctor in time if there is any discomfort, and give targeted therapeutic measures.