PRE & POST OPERATIVE CARE OF APPENDECTOMY

OBJECTIVE
To prepare patient before go to surgery To reduce patient anxiety before and after surgery. To prevent complication after surgery. Give health education for patient to continue normal lifestyle.

INTRODUCTION
APPENDIX
Is a small, fingerlike or worm like tube located where the large & small intestine join. The anatomical name for appendix is VERMIFORM APPENDIX ( means worm like appendage )

APPENDICITIS
An inflammation of the appendix.

APPENDECTOMY
The surgical procedure of removal of the appendix.

LOCATION OF APPENDIX

LAPAROSCOPIC APPENDECTOMY

PRE OPERATIVE CARE

Assess patient database

Activity/rest Circulation Food/fluid Pain/discomfort Respiration Allergic

Consent inform must be sign. Administer IV line as ordered. NBM patient 6 8 hour Skin preparation shaving (nipple line to mid-thigh) Psychological support encourage to ventilate feelings.

Diagnostic test
Blood test Chest x-ray/abdominal x-ray Ultrasound Ct scan ECG

POST OPERATIVE CARE

Monitor vital sign. Assess level of consciousness. Assess bleeding at wound site. Give clear fluid for first POD. Monitor for infection and any complication at the wound incision.

Administer IV prophylaxis antibiotics as ordered. Maintain aseptic technique during dressing. Encourage patient to do ROM exercise.

Health Education.(Discharge)
Advice patient to take antibiotics medication completely. Avoid patient to carry heavy thing. Advice patient to check any abnormal at site of wound incision such as redness, swelling, discharge or fever and come immediately to hospital.

Refferances
http://www.surgerychannel.com/ap pendectomy http://www.scribd.com http://www.medinda.net

THANK YOU

GROUP OF MEMBERS
Noor Izatullelmy Solehah Sapiai Nurul Amalina Dermadevi Shamieela Fariha Suhanimah Nur Hidayah Norshazuaiza Adilah Amni Nor Hamizah Siti Noor Fairuz Noorshuhadah