Bowel Obstruction: Small & Large

Question 1

what are the four hallmark s/s of an obstruction

Answer 1

n/v
cramps
pain
distention & constipation

Question 2

what are s/s of a SBO

Answer 2

sudden onset of vomiting

Question 3

what are s/s of LBO

Answer 3

change in bowel movement
decreased flatulance
constipated
bloated
big belly

Question 4

what types of intestinal obstruction is common for SBO

Answer 4

surgical adhesions
Crohn’s
Cancer

Question 5

what types of intestinal obstruction is common for LBO

Answer 5

colorectal cancer

Question 6

what else can cause an intestinal obstruction

Answer 6

reduced or absent peristalsis
paralytic ileus - lack of peristalsis/bowel sounds

Question 7

what labs will we look at for intestinal obstructions

Answer 7

CBC
blood chem

Question 8

what diagnostic test will we do for an intestinal obstruction

Answer 8

CT
Abd x-ray

Question 9

what interventions will we do for pts that do have intestinal obstruction

Answer 9

HOB up
Respiratory
give good mouth care
move diet along
pain control
monitor labs
Get them up and moving
measure their belly every shift

Question 10

what meds will we give to intestinal obstruction pts

Answer 10

IV fluids
antiemetic
antibiotic therapy
pain meds

Question 11

if pt has ileostomy after procedure, what are the at risk for

Answer 11

dehydration