Case Study on a Patient with Appendicitis

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APPENDICITIS

Case study
Patient name: J.K
Sex: Male
Race: Fijian
Age: 47

Personal History
Mr. J.K is married with four children. He describes himself as a socialable person likes to explore new things. Occupation:
He works at the Nasinu Town Council as a Carpenter

Family History:
-his father is a known diabetic patient and his grandmother died of leukemia
-his paternal uncle had died from septicemia.
Social History:
Cigarettes 1 pack per week x 12years now; he stopped smoking in 2000 and continued again recently. He drinks alcohol occasionally when a function occurs at home. Social drinker. He has been married for 18years; he has 4 children who are healthy. He is currently a carpenter at Nasinu Town Council.

Past Medical History:
He was admitted once back when he was a young boy in 1975 because he had a fractured arm. The patient denies allergies to any medications, foods or animals. The patient claims that he only suffered from two common childhood illnesses, chicken pox and measles, when he was a kid. According to him he was completely immunized when he was a child as evidence by scars on the patient’s left and right deltoid.

Presenting Problems:
CHIEF COMPLAINT
Four days prior to admission because of cough and fever 

The appendix is a closed-ended, narrow tube up to several inches inlength that attaches to the cecum the 1 st
part of the colon like a worm. The anatomical name for the appendix, vermiform appendix, means worm like appendage. The inner lining of the appendix produces a small amount of mucus that flows through the open center of the appendix and into the cecum.The wall of the appendicitis contains lymphatic tissue that is part of the immune system for making antibodies. Like the rest of the colon, the wall of the appendix also contains a layer of muscle but the muscle is fully developed .The appendicitis is the inflammation of the vermiform appendix and was 1 st

Described as a pathologic condition by Reginald Fitz in 1886; it was caused by an obstruction attributed to infection, stricture, fecal mass, foreign body or tumor. Appendicitis can affect either gender at any age, but most common in male ages 10-30. Appendicitis is the most common disease requiring surgery and one of the most commonly misdiagnosed diseases. Appendectomy removal of the appendicitis, is the standard treatment for acute appendicitis, it is important to immediately remove the appendix after the diagnosis to prevent the occurrence of life threatening complications of appendix can lead to peri appendiceal abscess(a collection of infected pus) or diffuse peritonitis (infection of the entire lining of the abdomen and the pelvis). The major reason for appendiceal perforation is delay in diagnosis and treatment. In general, the longer the delay between diagnosis and surgery, the more likely is perforation. The risk of perforation is36hour after the onset of symptoms at least 15 percent. Therefore once appendicitis is diagnosed surgery should be done without unnecessary delay.

Medical Order and Rationale B.
Drug study
1.General Name of ordered drug : Acetylcysteine
Brand Name : Mucomyst
Date Order : January 4, 2010
Classification : Mucolytic
Dose/Frequency/Route : 600mg > Tab >70cc
Mechanism of Action : Decrease viscosity of secretions in respiratorytract by breaking disulfide links of mucoproteins. Specific Indication : Drug is given because patient had diagnosed of  pneumonia and relief of the symptoms of pneumonia. Contraindication : Hypersensitivity

Side Effect/Toxic Effect: This medication can cause drowsiness,headache, tooth damage, and constipation. Nursing Precaution: Dilute oral doses with cola, fruit juice, or water  before administering.2. Generic Name of Ordered Drug: Omeprazole

Brand Name : Omeprazole
Date Ordered : January 3, 2010
 
Classification: Therapeutic – Antiulcer agentPharmacologic – Proton – Pump Inhibitors Dose/Frequency/Route : 40mg ┬ cap BID
Mechanism of...
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