CHAPTER VII

Precipitsting Factors:
Episodes of Constipation PATHOPHYSIOLOGY
Low Fiber Diet Predisposing Factors:
Low fluid intake (4glasses/day) Age

Occlusion of the Appendix by Fecalith

Decreased flow/drainage of mucosal

secretions

Increased ILP in the appendix

Vasocongestion

Decreased blood supply in the appendix

Decreased O2 supply in the appendix

Appendix starts to be necrotic; Bacteria

invade the appendix

Disruption of Cell Membrane of Appendix

Start of Inflammatory Process

Release of Chemical Mediators Neutrophils to area

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Histamine, Prostaglandin,
Leukotrienes, Bradykinin Release of Chemical Mediators
 Swelling of Appendix Risk for infection (if
UTZ (07-08-12) appendix ruptures)

Prostaglandin,
Bradykinin

Pain in the RLQ of

Abdomen Inflammation of Appendix
(Appendicitis)

Acute Pain
07-10-12
Appendectomy
07-09-12
Interleukin-1

Tissue Trauma
Increased WBC
12.3 (07-08-12)
Start of Inflammatory
process

Open Wound
Release of
Prostaglandin/Bradykinin

Risk for Nociceptors on Dermis Pain on surgical site

Infection

Impaired Tissue Send impulse to CNS

Integrity

Impaired Physical Mobility

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