Inpatient Pathway for the Evaluation/Treatment of the Child with Appendicitis

Equivocal Appendicitis

Equivocal Appendicitis
Admit to Surgery
Serial Abdominal Exam q 2-4 Hrs
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Pain Resolves
Pain Persists
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Advance Diet
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No Pain
Pain Returns
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Discharge
Diet/IVF NPO, maintenance IVF
Advance diet if pain improves/resolves
Activity Out of bed as tolerated
Pain Control None unless going to OR
If OR, IV Morphine/Nalbuphine
Antibiotics None unless going to OR
If OR, Ceftriaxone, Metronidazole
Discharge Teaching Standard post-op RN teaching