Bowel obstruction

Small bowel resection, severe diarrhea, intractable vomiting, bowel obstruction, and fistulas ° Critically ill patients with nonfunctioning GI tract... 

Gastrointestinal involvement may present initially as small bowel obstruction shortly after birth (known as meconium ileus) due to abnormally thick meconium that cannot be passed. Older CF patients may develop distal intestinal obstruction syndrome (DIOS), formerly called meconium ileus equivalent, which occurs due to fecal impaction in the terminal ileum and cecum. 

Obstructing disorders Pyloric obstruction Small bowel obstruction Colonic obstruction Achalasia... 

In ovarian cancer patients, small bowel obstruction is a common complication of progressive disease. In general, laxatives should not be used in patients with small bowel obstructions. 

Debulking surgery is intended to relieve symptoms associated with complications such as small bowel obstructions and to help improve the patient s quality of life but does not have a curative intent. 

AA is 45-year-old woman admitted to the hospital with chief complaints of fever, abdominal pain, nausea, and vomiting for 2 days. She also reports decreased appetite and decreased oral intake for the past 3 to 4 days. The patient was discharged 2 weeks ago after having a small bowel resection for recurrent bowel obstruction. 

Severe hemorrhagic pancreatitis Severe necrotizing pancreatitis Necrotizing enterocolitis Diffuse peritonitis Small bowel obstruction Paralytic ileus... 

PTT Partial thromboplastin time SBO Small bowel obstruction... 

Small bowel obstruction Renal disease (uremia)... 

Any cause of small bowel obstruction (adhesions, hernia) Vascular causes... 

Acute adverse effects associated with RT include hematologic depression, dysuria, diarrhea, abdominal cramping, and proctitis. Chronic symptoms may persist for months after RT and may involve diarrhea, proctitis, enteritis, small-bowel obstruction, perineal tenderness, and impaired wound healing. 

Cancer of the large bowel can present with symptoms of bowel obstruction, such as nausea, vomiting, colicky pain, constipation and abdominal... 

Gl lesions Potassium chloride tablets have caused stenotic or ulcerative lesions of the small bowel and death. These lesions are caused by a concentration of potassium ion in the region of a rapidly dissolving tablet, which injures the bowel wall and produces obstruction, hemorrhage, or perforation. The reported frequency of small bowel lesions is much less with wax matrix tablets and microencapsulated tablets than with enteric coated tablets. Immediately discontinue either type of tablet and consider the possibility of bowel obstruction or perforation if severe vomiting. 

Hypersensitivity to bile acid sequestering resins or any components of the products complete biliary obstruction (cholestyramine only) bowel obstruction (colesevelam only). 

Oral- Rarely, some tablets may cause bowel obstruction or blockage, usually... 

Megacolon, bowel obstruction, imperforate anus, or CHF Do not use sodium phosphate and sodium biphosphate in these patients hypernatremic dehydration may occur. 

Severe renal impairment moderate or severe hepatic impairment history of bowel obstruction, symptomatic gallbladder disease, suspected sphincter of Oddi dysfunction, or abdominal adhesions known hypersensitivity to the drug or any of its excipients. 

Uses Minimize paralytic ileus, Rx postop distention Action Cholinergic agent Dose Adults. Relief of gas 2-3 tabs PO tid Prevent postop ileus 250-500 mg IM stat, repeat in 2 h, then q6h PRN Ileus 500 mg IM stat, repeat in 2 h, then q6h, PRN Caution [C, ] Contra Hemophilia, mechanical bowel obst Disp Inj, tabs, cream SE GI cramps EMS May cause bowel obstruction, monitor pt for abd pain and inquire about recent bowel habits OD Sxs unknown symptomatic and supportive... 

Sodium Polystyrene Sulfonate (Kayexalate) [Potassium Removing Resin] Uses Rx of T K Action NaVK" ion-exchange resin Dose Adults. 15-60 g PO or 30-60 g PR q6h based on serum Peds. 1 g/kg/dose PO or PR q6h based on serum (given w/ agent, eg, sorbitol, to promote movement through the bowel) Caution [C, M] Contra T Na" Disp Powder, susp SE T Na", -i Na retention, GI upset, fecal impaction Interactions T Risk of systemic alkalosis W/ Ca- or Mg-containing antacids EMS Monitor ECG for h5 pokalemia (flattened T waves) OD Not systemically absorbed but may cause h5 pokalemia and the associated effects (muscle weakness, confusion) and bowel obstruction s5rmpto-matic and supportive... 

The most disturbing adverse reaction to clofazimine is a red-brown discoloration of the skin, especially in light-skinned persons. A rare but serious adverse reaction is acute abdominal pain significant enough to warrant exploratory laparotomy or laparoscopy. Other infrequent side effects include splenic infarction, bowel obstruction, paralytic ileus, and upper GI bleeding. 

Contraindications Abdominal pain, dysphagia, nausea, partial bowel obstruction, symptoms of appendicitis, vomiting... 

Esophageal or bowel obstruction mayoccurif administered withlessthan 250 ml or 1 full glass of liquid,... 

Esophageal or bowel obstruction may occur if administered less than 250 ml of liquid. 

---