An important GI post-op complication is paralytic ileus (paralysis of intestinal peristalsis).
1. Predisposing factors
1. Temporary: anesthesia, manipulation of bowel during abdominal surgery
2. Prolonged: electrolyte imbalance, wound infection, pneumonia
2. Assessment findings
1. Absent bowel sounds
2. No passage of flatus
3. Abdominal distention
3. Nursing interventions
1. Assist with insertion of nasogastric or intestinal tube with application of suction as ordered.
2. Keep client NPO.
3. Maintain IV therapy as ordered.
4. Assess for bowel sounds every 4 hours; check for abdominal distention, passage of flatus.
5. Encourage ambulation if appropriate.
1. Predisposing factors
1. Temporary: anesthesia, manipulation of bowel during abdominal surgery
2. Prolonged: electrolyte imbalance, wound infection, pneumonia
2. Assessment findings
1. Absent bowel sounds
2. No passage of flatus
3. Abdominal distention
3. Nursing interventions
1. Assist with insertion of nasogastric or intestinal tube with application of suction as ordered.
2. Keep client NPO.
3. Maintain IV therapy as ordered.
4. Assess for bowel sounds every 4 hours; check for abdominal distention, passage of flatus.
5. Encourage ambulation if appropriate.
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