What made this an emergency surgery

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Reference no: EM133381494

Assignment:

The school nurse called Johnny's mom because he has been crying that his stomach hurts and he can't go potty for 2 hours. He doesn't want to go back to school and doesn't want to lie down and rest. His vital signs are normal.

• Mom took him to an urgent care because it is unlike Johnny to cry or to be constipated. She knows that he had a BM yesterday. She thinks something is wrong.

• After an exam, the urgent care sent him to the emergency room with a diagnosis of "high index of suspicion for appendicitis."

• By the time he arrived at the ER, he was feeling less pain but was stating that he really had to have a bowel movement. He tried again for the 4th time that day, but could not defecate. The nurses took him immediately to a room and took his vitals. He had a temperature of 102.2 and his pulse was 115.

• Within one hour of arriving to the ER, Johnny was in the operating room.

What do you think the UC NP found on physical exam that made her suspect appendicitis?

• Is Johnny constipated? If yes, why wasn't that treated first. If no, what was causing him to feel that way.

• Why did the pain go away, but temperature spiked in the ER?

• What made this an emergency surgery?

• Prior to going to the OR, the ER nurse gave the patient ceftriaxone and metronidazole. Why?

• You receive Johnny on the med-surg floor.

• What medications do you anticipate you will be giving?

• What assessments will you do?

• What diet will Johnny be on?

• What complications are you assessing for?

Reference no: EM133381494

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