Management Of Appendicitis That Is Ruptured And Has Not Yet Been Operated On?
I want to ask, before an appendectomy can appendicitis suffer farts and chapters? And if the appendix ruptures and there is pus after surgery, it must enter the ICU? But in the ICU there is no blood transfusion action, even though platelets fall to 64000. eat. 2 days later a new blood transfusion is carried out because of HB 8.9. I feel a lot of awkwardness. Thanks.
The appendix is a part of the intestine that attaches to the caecum (the initial part of the large intestine). Inflammation in the appendix is called appendicitis. One complication of appendicitis that is left untreated or untreated is appendix perforation, due to longstanding infection and inflammation processes that damage the appendix wall. As a result, pus formed in the appendix will come out into the abdominal cavity, can cause local abscesses that cause symptoms of palpable lumps in the lower right abdomen or cause peritonitis (inflammation of the lining of the peritoneum that protects the abdominal cavity). The condition of peritonitis due to appendix perforation requires immediate medical treatment, because it can cause life-threatening systemic infections.
In the case of appendicitis alone, the surgical procedure performed is appendectomy, which is cutting and removing the appendix through a small incision in the skin in the lower right abdomen or by laparoscopic technique. Prognosis and postoperative healing appendectomy is relatively good and minimal complications. In the case of perforation of appendicitis that causes peritonitis, the surgical technique performed is generally laparotomy, with larger vertical wound cuts in the abdomen so that doctors can explore the abdominal area with a wider field of surgery.
ICU (intensive care unit) is a treatment room in a hospital for patients who need more close observation (eg vital signs must be observed and recorded every 15-30 minutes), requires breathing aids such as ventilators, using various kinds of drugs vasoactive to maintain hemodynamics (blood pressure) continuously, including post-operative large patients (including laparotomy) that require close observation to detect and prevent complications. The consideration of a patient entering the ICU is based on the results of the examination and the doctor's decision to adjust the ICU admission criteria set by a hospital.
Exit criteria ICU also exists, patients can be moved to the usual care room if it does not need close monitoring or intensive therapy such as in the ICU.
Platelet condition that is lower than normal is called thrombocytopenia. There is a condition called Thrombotic Thrombocytopenic Purpura (TTP) which is characterized by:
Thrombocytopenia (decreased platelets) Microangiopathic hemolytic anemia (decreased hemoglobin) Variable impairment of renal function Variable neurological symptoms Fever Found in postoperative patients, more frequent vascular cardiac surgery, but have been reported in patients after emergency appendectomy with indications appendix rupture. This situation is a condition that is considered very rare (rare) so that it requires an appropriate examination and findings that support the diagnosis of the condition.
Every medical action performed on the patient adjusts to the indications, the general and physical condition of the patient, the benefits and risks of the action. Similar to blood transfusion, patients with anemia or thrombocytopenia do not all need immediate blood transfusion, there are limits on patients who need to be transfused immediately, patients who can be transfused later while evaluating their condition, or patients who do not need a transfusion at all.
The things above that concern the patient, you should ask directly with the doctor who treats the patient. Because he is a doctor who deals directly, checks directly, and knows the patient's disease history. If there is something that you feel is not appropriate, of course, you can discuss with him and ask questions that can help the patient's recovery and how to further care when going home. Thus the explanation from me, hopefully useful.