PATHOPHYSIOLOGY

Pathophysiology: Appendicitis
Reference: (Medical- Surgical Nursing by Black; 7th Edition; p. 812-814; Springhouse Atlas of Pathophysiolog; 2nd Edition; p. 160 )

No specific risk factors

Causes: Mucosal Ulceration
Fecalith that occludes the lumen of appendix Inflammation
Kinking of the appendix
Swelling of bowel wall Obstruction of appendix
Fibrous conditions in the bowel wall
Blocked mucus outflow
Mucosal ulceration
(Peak incidence = 20-30 years) Disturbed sleep pattern
Appendix becomes distended
Discomfort
Increased intraluminal pressure
Exposure to hospital environment Ineffective role
Decreased venous drainage performance

Risk for imbalanced Acute Pain Hospitalization

Thrombosis Edema Bacterial invasion
nutrition: less than body
requirements Risk for
Restriction of blood flow to organ
constipation
Dietary restrictions Appendix becomes hyperemic, inflamed, warm and Gangrene, tissue decay
covered with exudate Decreased mobility and peristalsis
Perforation
Surgical intervention (appendectomy)
APPENDICITIS Impaired skin integrity
Rupture of appendix
Risk for fluid Nausea and vomiting
volume deficit Infected contents spill into abdominal cavity Inflammatory process activated
Risk for fluid and Body weakness
electrolyte imbalance Peritonitis Increased prostaglandin, histamine,
bradykinin etc.
Self-care deficit
Risk for infection
Risk for injury
Hyperthermia
Risk for injury

Impaired physical
mobility