The main complaint in patients with appendicitis is pain around the epigastrium radiating to the lower right abdomen. Complaints arising under the right abdominal pain may be a few hours later after the pain in the center or in the epigastrium felt in some time ago. Nature of the complaints of persistent pain is felt, may be lost or there is pain in a long time. Complaints which usually accompanies a client complaining of nausea and vomiting, loss of heat.
Risk for Deficient Fluid Volume
Definition: The decrease intravascular fluid, interstitial, and / or intrasellular. This leads to dehydration, loss of fluids with sodium expenditure.
Characteristics :
- Weakness
- Thirst
- Decreased skin turgor / tongue
- Mucous membrane / dry skin
- Increased pulse rate, decreased blood pressure, decrease in volume / pulse pressure
- Completion of decreased venous
- Changes in the mental position
- The concentration of urine increased
- Increased body temperature
- Elevated hematocrit
- Weight loss immediately (except on third spacing)
Risk for deficient Fluid Volume related to a sense of nausea and vomiting,
characterized by:
- Sometimes diarrhea.
- Abdominal distension.
- Tense abdomen.
- Decreased appetite.
- There is a sense of nausea and vomiting.
Purpose: Maintaining the balance of fluid volume
Results Criteria:
- The client is not diarrhea.
- A good appetite.
- The client no nausea and vomiting.
1) Monitor vital signs.
Rational: This is an early indicator of hypovolemia.
2) Monitor intake and urine output and concentration.
Rational: Decreased urine output and concentration will improve the sensitivity / sediment as one the impression of dehydration and require increased fluids.
3) Give fluid little by little but often.
Rationale: To minimize the loss of fluids.
