Bowel Obstructions

Question 1

Bowel obstruction is a what type of injury?

Answer 1

1 Work - Related Injury

Question 2

Will you have dehydration / Hypovolemia?

Answer 2

Yes - 100% of the fluid in your body is absorbed in your bowels - if it’s blocked you can’t get it

Question 3

Problems that occur from bowel obstructions

Answer 3

Bowel Ischemia

Bowel Perf

Question 4

Small Bowel Onset?

Answer 4

Rapid

Question 5

Large Bowel Onset?

Answer 5

Gradual

Question 6

Small Bowel Pain?

Answer 6

Wave-Like Cramp

Question 7

Large Bowel Pain?

Answer 7

Low- grade

Abd Pain

Question 8

Small Bowel Vomit?

Answer 8

Frequent and copious (Bile and feces)

Question 9

Large Bowel Vomit?

Answer 9

Rare ( doesn’t tend to back up into stomach)

Question 10

BM for small bowel?

Answer 10

Feces for a short period of time

Question 11

BM for large bowel?

Answer 11

Absolute constipation (no gas)

Question 12

Small Bowel adb distension?

Answer 12

Minimal increased

Throw up the “stuff” - so does not tend to distend

Question 13

Large Bowel abd distension?

Answer 13

Yes because they are retaining everything

Question 14

BOTH large and small bowel obstructions have what type of BP?

Answer 14

Hypertension early due to pain

Hypotension late due to hypovolemia

Question 15

What auscultation can you hear with small and large bowel obstructions?

Answer 15

OVER SITE OF OBSTRUCTION : Borborygmi - Gurgling/Tingling as stool and water mix and hit the obstruction

Late sign: Absent bowel sound

Question 16

WBC? HR? Fever?

Answer 16

High WBC
Tachycardia
High Fever

Question 17

Pyloric Stenosis is predominately in

Answer 17

Pediatrics - shortly after birth (3-12 weeks)

Pylori muscle continues to grow and obstructs the outlet

Obstruction between the stomach and the duodenum

Question 18

Pyloric stenosis vomit?

Answer 18

Projectile vomit

Question 19

Pyloric stenosis nutrition?

Answer 19

Failure to thrive
Few stools
Dehydration

Question 20

What is pyloric stenosis

Answer 20

Hypertrophy and hyperplasia of the pyloric muscle and narrowing of the gastric antrum

Question 21

What you may be able to see with pyloric stenosis?

Answer 21

Peristaltic waves from right to left

Question 22

What may you be able to palpate with pyloric stenosis?

Answer 22

Mobile, hard shaped olive mass over the pylorus

Question 23

Intussusception is common in..

Answer 23

ages 3mo to 5 years of age

Question 24

Intussusception is when..

Answer 24

The cecum (stronger part of the bowel) telescopes into the ileum (weaker part of the bowel)

Question 25

Intussusception w/ blood vessels?

Answer 25

When the ileum telescopes inside the cecum it cause bowel to become ischemic due to kinking of BV - will begin to bleed - mixes w/ blood and mucous

Question 26

Pain w/ intussusception

Answer 26

Painful, children may pull legs up to their stomach

Question 27

Stools in intussusception

Answer 27

Grape jelly like (gangrene)

Question 28

Tx for bowel obstructions

Answer 28

IV fluids / Electrolyte Imbalances
Antiemetics
Analgesics
Rest the bowel 
Gastric Tube

Question 29

Intussusception care

Answer 29

Barium/Air Enema

Weight of barium will reduce it

Question 30

Pyloric Stenosis and perf care

Answer 30

Surgery