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    Intestinal Obstruction: Borborygmi Bacterial Activity

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    Shiella Heart Malana
    Intestinal obstruction can occur due to abdominal adhesions following surgery. This leads to cessation of peristalsis and accumulation of gases and fluids in the intestine, causing distention. Symptoms include severe abdominal pain, vomiting, and metabolic alkalosis as fluids and electrolytes are lost. Untreated, the blockage can cause intestinal ischemia, necrosis, perforation, and potentially sepsis. Management involves fluid resuscitation, nasogastric decompression, and pain medication while the underlying cause is addressed.

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    Intestinal Obstruction: Borborygmi Bacterial Activity

    Uploaded by

    Shiella Heart Malana
    35 views1 page
    Intestinal obstruction can occur due to abdominal adhesions following surgery. This leads to cessation of peristalsis and accumulation of gases and fluids in the intestine, causing distention. Symptoms include severe abdominal pain, vomiting, and metabolic alkalosis as fluids and electrolytes are lost. Untreated, the blockage can cause intestinal ischemia, necrosis, perforation, and potentially sepsis. Management involves fluid resuscitation, nasogastric decompression, and pain medication while the underlying cause is addressed.

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    Intestinal obstruction can occur due to abdominal adhesions following surgery. This leads to cessation of peristalsis and accumulation of gases and fluids in the intestine, causing distention. Symptoms include severe abdominal pain, vomiting, and metabolic alkalosis as fluids and electrolytes are lost. Untreated, the blockage can cause intestinal ischemia, necrosis, perforation, and potentially sepsis. Management involves fluid resuscitation, nasogastric decompression, and pain medication while the underlying cause is addressed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views1 page

    Intestinal Obstruction: Borborygmi Bacterial Activity

    Uploaded by

    Shiella Heart Malana
    Intestinal obstruction can occur due to abdominal adhesions following surgery. This leads to cessation of peristalsis and accumulation of gases and fluids in the intestine, causing distention. Symptoms include severe abdominal pain, vomiting, and metabolic alkalosis as fluids and electrolytes are lost. Untreated, the blockage can cause intestinal ischemia, necrosis, perforation, and potentially sepsis. Management involves fluid resuscitation, nasogastric decompression, and pain medication while the underlying cause is addressed.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Intestinal Obstruction

    Adhesion due to abdominal


    surgery

    Cessation of peristalsis

    Increased contractions of Borborygmi Gases and fluids Bacterial


    proximal intestine accumulate in the area Activity

    Distention of intestine

    Persistent
    Severe Increased intraluminal pressure vomiting
    colicky
    abdominal
    pain
    Increased secretions into the intestine Loss of hydrogen,
    ions, potassium

    Compression of veins
    Metabolic
    alkalosis
    Increased venous pressure

    Decreased absorption

    Edema of the intestine

    Dec arterial blood supply Compression of


    terminal branches of
    mesenteric artery
    Ischemia, Anoxia

    Necrosis Perforation Bacteria or toxins leak into:


    of necrotic
    segments

    Gangrenous
    intestinal wall Peritoneal
    Blood supply
    cavity

    Dec bowel Cessation of


    sounds Peritonitis Bacteremia
    peristalsis
    Septicemia
    Diagnostic Examination Medical Management Nursing Management
    Computed Tomography (CT) scan - It detects
     A nasogastric tube is placed and inserted for the  Fluid resuscitation with electrolyte replenishment is
    inflammation, edema, and bleeding. Examine the soft
    tissue and organs of the abdomen for cysts and gastrointestinal contents to be aspirated and prevent necessary to maintain proper volume status.
    malignancies. aspiration to the patient.  Patients should be placed on NPO and stomach
    s
    Ultrasonography - It helps screen for kidney stones, liver  Other resuscitative measures to be placed and inserted decompression using a nasogastric tube and flatus tube
    illness, malignancies, and various other abdominal are intravenous fluid’s commencement and to reduce discomfort, vomiting, and distension.
    problems. Examine the source of your stomach ache or replacement of electrolytes to correct imbalances.  Determine the usual range for urea and electrolyte
    bloating.  An appropriate dose of Opiate Analgesia is findings to recognize dehydration and the danger of
    Fluoroscopy - To assess the existence of arterial administered based on the tolerance of the patient. deterioration and intervene effectively.
    obstructions, see the transit of contrast via the  For symptomatic management, it should be noted that  The use of a nasogastric tube allows for intestinal
    gastrointestinal system and the flow of blood through the though it does not aggravate surgical results, if there are decompression, which relieves discomfort around the
    coronary arteries. any, some of the medications can make obstructive blockage. Also, to aid in the management of emesis,
    Air or barium enema - It allows for more accurate colon
    dysmotility worse. These medications include opioids provide correct intake and output data, and reduce the
    imaging. During the surgery, the doctor will inject air or
    and anti-spasmodic danger of aspiration.
    liquid barium into the colon through the rectum.
    Magnetic Resonance Imaging (MRI) - It aids in site  For patients considered terminal, it is significant to  If the patient is unstable or sick, use a Foley catheter to
    identification and etiology estimate. MRI might enable involve them early in palliative care to avoid refusal and monitor the patient's urine.
    more precise and faster identification of patients for promote continuity of care.  If the pain is severe, the nurse may provide analgesics.
    operative intervention without exposing them to radiation.  Patients with problems or recurring blockage should be
    closely monitored.

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