Bowel obstruction Flashcards
1
Q
Management
A
Acute abdo work-up ie.
Bedside: urine dip, pregnancy test, ABG
Bloods: FBC, UEs, LFTs, CRP, amylase, calcium, glucose, blood cultures, G&S, clotting
- catheterise to monitor output
Plus
- examine: tinkling bowel sounds
- AXR
- CT with contrast gastrograffin
Management:
1. Drip and suck (NG feed and suck) - wide bore NGT
2. IV Fluids
3. Antibiotics IV
4. IV analgesia
5. IV ondasetron
4. SpR review
5. Surgical work up - laparotomy
In closed loop obstruction, do not give metoclopramide as it is a pro-kinetic
