Pediatric Nursing
- year-old child was admitted with suspected appendicitis.
A nurse was evaluating the child’s condition and the mother stated that the child did have his bowel movement for the past two days and requested for natives. What is the risk of giving laxative to patient with appendicitis?
Explanation
Core Concept: Contraindications in suspected acute appendicitis.
Clinical Presentation: RLQ pain, fever, constipation, or diarrhea.
Diagnosis: Clinical and radiological evaluation.
Management: *Acute:* Laxatives or enemas are strictly contraindicated in suspected appendicitis. Stimulating bowel motility increases intraluminal pressure and peristalsis, which significantly increases the risk of appendiceal *rupture* and subsequent life-threatening peritonitis. *Long-term:* Prompt surgical evaluation and appendectomy.