How is appendicitis managed in the emergency department (ED)?

Updated: Jul 23, 2018
  • Author: Sandy Craig, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Emergency department care is as follows:

  • Establish IV access and administer aggressive crystalloid therapy to patients with clinical signs of dehydration or septicemia

  • Keep patients with suspected appendicitis NPO

  • Administer parenteral analgesic and antiemetic as needed for patient comfort; no study has shown that analgesics adversely affect the accuracy of physical examination [11]


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