bowel obstruction

definition

is the blockage of the intestines evidenced by partial or complete impairment to the forward flow of intestinal contents

causes

pathophysiology

intussusception

hernia

blocking objects

undigested foods

impacted faecal matter

worms

turmours

volvulus

when the obstruction occurs an intestinal fluid contents and gas accumulate above the obstruction this causes abdominal distension which result in the reduction in fluids absorbed and increase in intestinal secretions.

assessments and common findings +symptoms

abdominal distension

dehydration

nausea and vomiting

severe constipation

pain

hypothermia and signs of impending shock

management

minimise pain and discomfort

restorre normal fluid and electrolyte status

relieve obstruction and promote return to normal bowel function