Episodes of constipation Low fiber diet

Occlusion of appendix by
fecaloth

Decreased flow/ drainage of

mucosal secretions

Increased ILP in the appendix

Vasocongestion

Decreased blood supply in the appendix

Decreased oxgen supply in the appendix

Appendix starts to be necrotic; bacteria

invade the appendix

Start of the inflammatory process

Release of chemical mediators Activation of the vomiting Neutrophils to area

center in the medulla

Pus formation
Histamine, prostaglandin, (phagocytized bacteria
leukotrienes, bradykinin Stimulation of vagus and dead cells)
nerve

Swelling of appendix

Nausea & vomiting

Risk for infection (if
Prostaglandin, bradykinin
appendix ruptures)

Pain in the RLQ of Risk for deficient

abdomen fluid volume

Acute pain

Interleukin-l
Inflammation of appendix
Increased WBC (appendicitis)
 Appendectomy

Open wound Tissue trauma

Nociceptors
on the
dermis
Impaired tissue Risk for Disruption of cell
integrity infection membrane

Send impulse to
CNS

Start of inflammatory Pain on

process surgical site

Release of prostaglandin/ Activity

bradykinin intolerance

Fardz ito lang nakita ko saka sundan mo na lang ung arrow kung medyo magulo ………….