4 Appendectomy Nursing Care Plans

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Appendectomy is the surgical removal of the appendix. An inflamed appendix may be removed using a laparoscopic approach with laser. However, the presence of multiple adhesions, retroperitoneal positioning of the appendix, or the likelihood of rupture necessitates an open (traditional) procedure.

Studies indicate that laparoscopic appendectomy results in significantly less postoperative pain, earlier resumption of solid foods, a shorter hospital stay, lower wound infection rate, and a faster return to normal activities than open appendectomy.

Nursing Care Plans

Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information.

Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy:

  1. Acute Pain
  2. Risk for Deficient Fluid Volume
  3. Risk for Infection
  4. Deficient Knowledge
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Risk for Infection

Risk for Infection: At increased risk for being invaded by pathogenic organisms.

Risk factors may include

  • Inadequate primary defenses; perforation/rupture of the appendix; peritonitis; abscess formation
  • Invasive procedures, surgical incision

Desired Outcomes

  • Achieve timely wound healing; free of signs of infection/inflammation, purulent drainage, erythema, and fever.
Nursing InterventionsRationale
Practice and instruct in good handwashing and aseptic wound care. Encourage and provide perineal care. Reduces risk of spread of bacteria.
Inspect incision and dressings. Note characteristics of drainage from wound (if inserted), presence of erythema.Provides for early detection of developing infectious process and monitors resolution of preexisting peritonitis.
Monitor vital signs. Note onset of fever, chills, diaphoresis, changes in mentation, reports of increasing abdominal pain.Suggestive of presence of infection or developing sepsis, abscess, peritonitis.
Obtain drainage specimens if indicated.Gram’s stain, culture, and sensitivity testing is useful in identifying causative organism and choice of therapy.
 Administer antibiotics as appropriate. Antibiotics given before appendectomy are primarily for prophylaxis of wound infection and are not continued postoperatively. Therapeutic antibiotics are administered if the appendix is ruptured or abscessed or peritonitis has developed.
Prepare and assist with incision and drainage (I&D) if indicated. May be necessary to drain contents of localized abscess.
Watch closely for possible surgical complications.Continuing pain and fever may signal an abscess.
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See Also

You may also like the following posts and care plans:

Gastrointestinal Care Plans

Care plans covering the disorders of the gastrointestinal and digestive system:

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7 COMMENTS

  1. I am following this.there are no any class or courses to train for NCELEX in my country. But I trying it via internet.thanks for helping us.

  2. thank you Matt, I am in the same position now, doing nursing care plans is a challenge. thank you for your ability to present it clearly.

  3. are the diagnosis for post operative care or its combined pre and post op. for example interventions of acute pain i read somewhere talking for not to apply hot compress for fear of rupture?

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