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    NCP Appendicitis Acute Pain

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    MelDred Cajes Bolando
    Juan de la Cruz is a 55-year-old male admitted to the surgical ward with acute pain in his right lower abdomen. Based on his symptoms of rebound tenderness and guarded behavior, the nursing diagnosis is acute pain related to appendicitis. The plan is to monitor the patient's vital signs and signs of a ruptured appendix, administer pain medication and antibiotics as prescribed, and use relaxation techniques to help relieve the pain. The interventions will be evaluated for effectiveness in reducing the patient's pain levels and preventing clinical deterioration.

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    NCP Appendicitis Acute Pain

    Uploaded by

    MelDred Cajes Bolando
    4K views2 pages
    Juan de la Cruz is a 55-year-old male admitted to the surgical ward with acute pain in his right lower abdomen. Based on his symptoms of rebound tenderness and guarded behavior, the nursing diagnosis is acute pain related to appendicitis. The plan is to monitor the patient's vital signs and signs of a ruptured appendix, administer pain medication and antibiotics as prescribed, and use relaxation techniques to help relieve the pain. The interventions will be evaluated for effectiveness in reducing the patient's pain levels and preventing clinical deterioration.

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    NCP Appendicitis Acute pain

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    Juan de la Cruz is a 55-year-old male admitted to the surgical ward with acute pain in his right lower abdomen. Based on his symptoms of rebound tenderness and guarded behavior, the nursing diagnosis is acute pain related to appendicitis. The plan is to monitor the patient's vital signs and signs of a ruptured appendix, administer pain medication and antibiotics as prescribed, and use relaxation techniques to help relieve the pain. The interventions will be evaluated for effectiveness in reducing the patient's pain levels and preventing clinical deterioration.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    4K views2 pages

    NCP Appendicitis Acute Pain

    Uploaded by

    MelDred Cajes Bolando
    Juan de la Cruz is a 55-year-old male admitted to the surgical ward with acute pain in his right lower abdomen. Based on his symptoms of rebound tenderness and guarded behavior, the nursing diagnosis is acute pain related to appendicitis. The plan is to monitor the patient's vital signs and signs of a ruptured appendix, administer pain medication and antibiotics as prescribed, and use relaxation techniques to help relieve the pain. The interventions will be evaluated for effectiveness in reducing the patient's pain levels and preventing clinical deterioration.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    NURSING CARE PLAN

    Name of Patient: Juan de la Cruz Civil Status:


    Age: 55 years old Nationality:
    Sex: Male Religion:
    Address: Ward: Surgical Ward
    ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION
    DIAGNOSIS BACKGROUND
    SUBJECTIVE: Acute pain Appendicitis After 8 hours Independent:
    “Sakit akong kilid sa related to usually involves a of nursing - Establish rapport - To gain trust
    tiyan aring tuo inflammation gradual onset of interventions, and
    dapit”, as verbalized of the dull, cramping, or the patient cooperation
    by patient. appendix as aching pain will be able to - Monitor vital signs - To see any
    evidenced by throughout the demonstrate changes in
    OBJECTIVE: rebound abdomen. use of vital signs
    - Facial tenderness relaxation prior to clinical
    grimace at the right As the appendix techniques to deterioration.
    noted lower becomes more relieve pain.
    quadrant. swollen and - Changes in
    - Guarded inflamed, it will - Monitor signs of location or
    behavior irritate the lining ruptured appendix and intensity are
    of the abdominal investigate pain not
    - Rebound wall, known as reports, noting uncommon
    tenderness the peritoneum location, duration, but may
    at the right intensity (0-10scale), reflect
    lower and characteristics developing
    This causes
    quadrant (dull, sharp, constant) complications.
    localized, sharp
    Levels of pain
    pain in the right
    - Vital signs monitors
    lower part of the
    are as raptured
    abdomen. The
    follows: appendix.
    pain tends to be
    more constant
    T: 36.5 C - Position right-side - Reduces
    and severe than
    P: 88bpm lying or low to semi- abdominal
    the dull, aching
    R: 20bpm fowlers position. distention to
    pain that occurs
    BP: provide
    when symptoms
    120/80mmHg patient
    start.
    comfort.

    - Move patient slowly - Reduces


    and deliberately muscle tension
    or guarding,
    which may
    help minimize
    pain or
    movement.

    Dependent: - Ranitidine is
    - Administer used to
    medication as prevent ulcer
    prescribed while patient
     Ranitidine is on NPO.
     Ceftriaxone
    - Ceftriaxone is
    a promising
    antimicrobial
    agent in the
    therapy of
    bacterial
    meningitis.

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