Obstruction Care.docVIP

 PAGE \* MERGEFORMAT 5 Obstruction Care Some or all of the normal flow of intestinal contents and not smooth through the intestinal tract, known as intestinal obstruction, acute abdomen is one of the common surgical .90% of intestinal obstruction in the small intestine, especially the Ministry of narrow ileum, and colon obstruction occurs most often in the sigmoid colon. ileus condition changing, rapidly, often endangering the patient’s life. (A) patients with varying degrees of intestinal obstruction and vomiting due to obstruction of the performance of different types should be to grasp the characteristics of different types of vomiting such as vomiting and high intestinal obstruction appeared early, vomit, gastric, intestinal obstruction and vomiting appear late and low less, vomit, fecal material. strangulating intestinal obstruction were brown vomit or bloody. timely reporting of abnormal doctor vomiting visions patients sit or head to one side, so as to avoid attracting from aspiration pneumonia or asphyxia, timely removal of oral vomit, keep your mouth clean. (B) the obstruction and the patient can not eat because of frequent vomiting leading to loss of water and electrolytes caused by severe dehydration, electrolyte imbalance, and severe metabolic acidosis, severe hypovolemic shock can occur, according to the severity of the patient to determine the fluid volume and speed. correcting water, electrolyte and acid-base balance, fluid volume and type of vomiting and dehydration, according to the situation, urine output and combined with blood, serum electrolytes and blood gas analysis values #8203;#8203;of the decision. bowel obstruction has existed for several days, high intestinal obstruction and frequent vomiting, the need to supplement potassium when necessary, output of plasma, whole blood or plasma substitutes to compensate for the lost plasma and blood. 24-hour access to accurately record the amount of fluid. (C) Since man