Scribd Logo
Upload

Welcome to Scribd!

  • 262 views

    2.large Bowel Obstruction

    Uploaded by

    urmila prajapati
    Large bowel obstruction is a blockage of the large colon that prevents food and fluid from passing through. It can be caused by conditions like adhesions, tumors, inflammatory bowel disease, volvulus, diverticulitis, and abdominal or pelvic surgery. Symptoms include abdominal pain, distension, vomiting, constipation, and inability to pass gas or stool. Diagnosis involves tests like x-rays, CT scans, colonoscopy, and blood tests. Treatment focuses on IV fluids, nasogastric decompression, pain management, and sometimes surgery to remove the obstruction or create a temporary or permanent colostomy.

    Copyright:

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

    2.large Bowel Obstruction

    Uploaded by

    urmila prajapati
    262 views13 pages
    Large bowel obstruction is a blockage of the large colon that prevents food and fluid from passing through. It can be caused by conditions like adhesions, tumors, inflammatory bowel disease, volvulus, diverticulitis, and abdominal or pelvic surgery. Symptoms include abdominal pain, distension, vomiting, constipation, and inability to pass gas or stool. Diagnosis involves tests like x-rays, CT scans, colonoscopy, and blood tests. Treatment focuses on IV fluids, nasogastric decompression, pain management, and sometimes surgery to remove the obstruction or create a temporary or permanent colostomy.

    Original Description:

    ppt

    Original Title

    2.Large Bowel Obstruction

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Large bowel obstruction is a blockage of the large colon that prevents food and fluid from passing through. It can be caused by conditions like adhesions, tumors, inflammatory bowel disease, volvulus, diverticulitis, and abdominal or pelvic surgery. Symptoms include abdominal pain, distension, vomiting, constipation, and inability to pass gas or stool. Diagnosis involves tests like x-rays, CT scans, colonoscopy, and blood tests. Treatment focuses on IV fluids, nasogastric decompression, pain management, and sometimes surgery to remove the obstruction or create a temporary or permanent colostomy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    262 views13 pages

    2.large Bowel Obstruction

    Uploaded by

    urmila prajapati
    Large bowel obstruction is a blockage of the large colon that prevents food and fluid from passing through. It can be caused by conditions like adhesions, tumors, inflammatory bowel disease, volvulus, diverticulitis, and abdominal or pelvic surgery. Symptoms include abdominal pain, distension, vomiting, constipation, and inability to pass gas or stool. Diagnosis involves tests like x-rays, CT scans, colonoscopy, and blood tests. Treatment focuses on IV fluids, nasogastric decompression, pain management, and sometimes surgery to remove the obstruction or create a temporary or permanent colostomy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    Large bowel obstruction

    Define:
    Large bowel obstruction is a blockage of large colon
    that prevent food and fluid from passing through.
    Large bowel obstruction can be causes many
    condition including fibrous bands of tissue in the
    abdomen (Adhesion) or tumors.

    Cause:
     Inflammatory bowel disease .
     Colonic volvulus (twisting of the colon)
    Cont..
     Adhesion
     Constipation.
     Fecal impaction.
     Colon Artesia.
     Diverticular
     Benign strictures.
     Endometriosis.
    • Paralytic ileus ( Intestine donot function properly).
     Abdominal surgery.
     Pelvic surgery.
    Pathology
    The prevalence of mechanical large bowel obstruction
    increase with age as does it main cause ,colon cancer,
    diverticulitis, sigmoid volvulus are also potential cause
    this disorder. Mechanical obstruction of the large bowel
    cause bowel dilation above the obstruction. This cause
    mucosal edema and impaired venous or arterial blood
    flow to bowel . Bowel edema and ischemia increase the
    mucosal permeability of the bowel which can lead to
    bacterial translocation, system toxicity, dehydration. That
    bowel ischemia can lead to perforation which result from
    decrease para symphatic tone.
    Cause cont..
     Infection .
     Certain medication.
     Muscle and nerve disorder.

    Signs and symptoms:


     Abdominal pain .
     Abdominal distension.
     Vomiting .
     Fecal vomiting.
     Constipation
    Cont..
     Bloating.
     Diarrhea.
     Ischemia .
     Perforation.
     Infection.
     Inability bowel movement or pass gas.

    Diagnosis :
     Stool test .
     Blood test.
     X-ray abdomen.
    Cont..
     CT or MRI.
     Colonoscopy.
     Endoscopy.
     Laparoscopy.

    Treatment & Management:


     Start I/V .
     Keep N.P.O.
     Insertion of nasogastric tube for aspiration.
    Cont..
     Administered opioid pain relievers and antiemetic for
    control vomiting.
     Perform surgical resection to removed obstructing
    lesion.
     A temporary or permanent colostomy may be
    perform if needed because removal of the entire
    large bowel.
     Teach about how to change colostomy bag and
    support.
    Nursing intervention according to
    nursing process
    Assessment:
     First history taking .
     Take subjective and objective information.
     Perform physical examination.
     Collect dada from medical record.
    Analysis all data and information and prioritize the
    problem .
    Nursing diagnosis & set goal
     Altered elimination due to decrease intestine
    motility.
     Deficit fluid volume due to vomiting and NGT
    drainage , inadequate oral intake.
     Pain due to abdominal discomfort constipation &
    abdominal distention .
     Alter nutrition due to decrease desire ability to eat
    nausea.
    Nursing care plan/ intervention as
    related to nsg diagnosis and goals:
     Assess patient abdomen for tenderness, auscultation
    for bowel sound in all 4 quadrants palpate for
    distention and inquire patient is passing flatus or see
    bowel movement.
     Instruct patient to report any instance of abdominal
    cramping , nausea or vomiting.
     Instruct patient to intake oral fluid to prevent
    dehydration and electrolyte imbalance.
     Monitor and record patient intake & output .noting
    color and consistency of stool.
    Cont..
     Encourage patient to ambulate around the unit at
    least 3 time per shift .
     Teach about disease ,treatment ,care, and follow up
    visit.

    On going evaluation related nursing goals:


    Example:-
     Patient’s abdomen will be assessed and ausculated
    ,palpated for the presence of bowel sound, passed
    flatus or bowel movement.
    Cont..
     Increase oral intake .
     Intake out put will be balance.

    Thank – You

    You might also like