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7868412
Intestinal Obstruction
Descrição
Paralytic Ileus & Intestinal Obstruction
Sem etiquetas
paralytic ileus
intestinal obstruction
health care concepts 2
elimination
Mapa Mental por
Ilana Kovach
, atualizado more than 1 year ago
Mais
Menos
Criado por
Ilana Kovach
mais de 7 anos atrás
208
0
0
Resumo de Recurso
Intestinal Obstruction
Signs & Symptoms
Large Intestine
Low grade Cramping Abdominal Pain
Absolute Constipation
Gradual onset
Abdominal Distention
Lack of Flatus
Small Intestine
Metabolic Alkalosis (vomiting Stomach Acids)
Bile Color Emesis
Distal Small intestine more Gradual & may even smell like feces
Needs Surgery Immediately
Rapid Dehydration
Colicky & Cramp Like Pain (Intermittent)
Feces (for short time)
Minimal Distention
Bowel Sounds High Pitched Above Obstructure
Borborgymi (Hyperactive)
Nonmechanical Absent Bowel Sounds
Paralytic Ileus (Constant pain
Mechanical (Pain in Waves0
Intervention
NG tube
Check q 4hrs
NPO
IV Fluids
Lactated Ringers or NS (GI losses Isotonic)
Surgery if Intestines are Strangulated
Analgesic (pain)
Monitor BUN, Creatinine, Electrolytes, Dehydration, Metabolic Alkalosis
Rising BUN & Creatinine is indicator of Acute Kidney Injury
Immediately report if output is less than 0.5kg/ml per hour
Low obstruction (Metabolic Acidosis) Lossing Bicarb
Oral Care (Mouthwash Frequently) & Water soluble lubricant
Causes
Mechanical
hernia
strictures from crohn's disease
Diverticular Disease
Occulusion
Volvolus
Nonmechanical
Anotações:
Something Interferes with the parasympathetic nervous System.
Hypokalemia
Spinal Fracture
Anasthesia
Abdominal Surgery
No Passage of Stool
Complications
Intraluminal Pressure Increases
Increased Permeability of Capillaries
Content Leaks into Peritoneal Cavity
Hypovolemic Shock
Third Spacing
Hypotension
Bowels Can become Extremely distended
Blood Flow stop
Intestinal Strangulation/Intestinal Infarction
Needs to Be corrected Immediately (Septic Shock Risk)
Diagnostics
Elevated WBC
Preforation
Strangulation
Decreased hct/hgb?
Bleeding
Strangulation/Necrosis
CT scans, X Rays, Sigmoidoscopy, Colonoscopy
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