Acute Appendicitis

🃏 Order set for ADHF (Acute Decompensated Heart Failure) — CHAMP Triage, Decongestion, Diuretic Resistance & Cardiogenic Shock

  • Alvarado Score: Migration pain + Anorexia + N/V + RIF tenderness + Rebound + Temp >37.3 + Leukocytosis + Left-shift (0-10); <7=low, 7-8=moderate, >=9=high
  • Imaging: US first (sensitivity 86%) → CT abdomen if US inconclusive (sensitivity 94%)
  • Perforation signs: fever >38.5, WBC >18,000, peritonitis, CT phlegmon/abscess/free air
  • Complicated vs Uncomplicated: uncomplicated = surgery within 24h; complicated = IV ATB ± interval appendectomy

🕐 One-Day Orders

🔬 Investigation

  • CBC + CRP — leukocytosis + left shift; CRP elevated in perforation
  • BUN, Cr, electrolytes, LFT — surgical baseline
  • UPT — ผู้หญิงวัยเจริญพันธุ์ (ectopic pregnancy DDx)
  • UA — UTI/stone DDx
  • US abdomen/pelvis stat — non-compressible appendix >6 mm = appendicitis
  • CT abdomen-pelvis with contrast ถ้า US inconclusive
  • Blood group + crossmatch ก่อน surgery
  • PT/INR — surgical baseline

💊 Medication

  • NPO stat (surgical patient)
  • IV NSS 1-2 L (bowel rest + resuscitation)
  • Paracetamol 1 g IV q6h — analgesia (opioid PRN; ไม่ mask diagnosis ถ้าวินิจฉัยแล้ว)
  • Surgical consult stat — appendectomy (laparoscopic preferred)
  • Pre-op prophylactic ATB (เริ่มก่อน incision 60 min):
    • Cefazolin 2 g IV (uncomplicated) — single dose
    • Complicated (perforation): Pip-Tazo 4.5 g IV q6h หรือ Meropenem ถ้า severe

🔁 Continuous Orders

🔬 Investigation

  • Post-op CBC + CRP day 1 — confirm resolution
  • Pathology ชิ้นเนื้อ appendix — ยืนยัน diagnosis

💊 Medication

  • [Uncomplicated — post appendectomy]:
    • หยุด ATB หลัง op; oral diet เมื่อ tolerating; discharge day 1-2
  • [Complicated — perforation/abscess]:
    • IV ATB ต่อ Pip-Tazo 4.5 g IV q6h หรือ Metronidazole + Ceftriaxone x 3-5 วัน → PO ถ้า improving
    • Total ATB 5-7 วัน (ตาม IDSA)
  • Pain control: Paracetamol ± NSAIDs (ถ้า renal OK); Tramadol PRN
  • Early mobilization day 1