Peritonitis following ruptured appendix

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NRSG370: Melody King, 36, Peritonitis following ruptured appendix – Nursing Assignment

Ms Melody King presented to the Emergency Department with 2-3 days of severe Left Lower Quadrant abdominal pain, which required emergency laparoscopic surgery for removal of a ruptured appendix. She has a past medical history of asthma and depression, with her current prescribed and compliant medications list which includes: 
* Ventolin 
*Seretide 
* Sertraline 
Melody’s observations were as follows: 
* BP 95/45mmHg 
* HR 120 
* Temp 38.3°Celcius 
* RR 22/min and shallow 
*SpO 2 95% on room air 
She complained of increasing nausea and centralised abdominal pain 7-8 on a scale of 0 to10. The physical assessment showed a distended abdomen and generalised abdominal guarding. To investigate her condition further, pathology results reveal a raised white blood cell (WBC) count and CRP.

Questions:

• Considering the person’s situation, collect, process and present related health information;

• Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care;

• Establish goals for priority of nursing care as related to the nursing problem/issues identified;

• Discuss the nursing care of the person, link it to assessment data and history;

• Evaluate your nursing care strategies to justify the nursing care provided;

• Reflect on the person’s outcomes.