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

Non-Perforated Appendicitis

Diet/IVF Clear, advance diet
Heplock IV when po fluids adequate
Activity Out of bed as tolerated
Pain Control Ketorolac unless contraindicated
PO Oxycodone
Antibiotics Pre-operative — Ceftriaxone, Metronidazole
Post -operative — Metronidazole, one additional dose
Discharge Teaching Standard post-op RN teaching