Medications decrease opiod use thereby reducing the risk of a post operative ileus.
What are NSAIDs?
100
The most common cause of small bowel obstructions.
What is are post operative adhesions?
100
Inflammatory response to intestinal manipulation and trauma.
What is a POST OPERATIVE ILEUS?
100
The two most common findings on abdominal xray of a small bowel obstruction.
What are dilated loops of bowel and air fluid levels?
100
A factor that significantly influences postoperative GI motility and correlates directly with a greater inflammatory response.
What is the length of an operative incision?
200
An agent to be avoided in complete mechanical large bowel obstructions.
What is maxeran?
200
Tachycardia, peritoneal signs, metabolic acidosis and elevated lactate.
What are bowel strangulation clinical signs?
200
The location of a proximal small bowel obstruction.
What is the jejunum?
200
The name of this intraoperative finding.
What is gangrenous bowel?
200
This analgesic treatment prevents the establishment of central sensitization and is intended to protect the CNS from the deleterious effect of noxious stimuli.
What is preemptive analgesia?
300
A somatostatin analog that decreases bowel secretions and can alleviate vomiting.
What is octreotide?
300
Normal colour, motility, and the presence of mesenteric pulses.
What are intraoperative signs of viable intestine?
300
The contents of this site are nearly always sterile. Bacterial overgrowth can lead to feculent emesis.
What is the proximal small bowel.
300
A finding seen in SBO's and occasionally with a post operative ileus.
What are air fluid levels?
300
An anaesthetic that blocks both nociceptive spinal sensory afferents and inhibitory sympathetic efferent outflow. It also decreases opiod use.
What is an epidural?
400
Increases bowel lumen diameter by decreasing bowel wall edema.
What is dexamethasone?
400
Patients with partial SBO due to metastatic intraabdominal malignancy, recurrent adhesive obstruction, obstructing radiation enteritis, or during the early postoperative period.
What is an often successful candidate for nonoperative management?
400
Nausea, vomiting and bowel wall edema.
What are frequent causes of dehydration and electrolyte imbalance in a small bowel obstruction?
400
Three views of an xray helpful in diagnosing a small bowel obstruction.
What are: upright CXR, supine AXR, upright AXR?
400
A post operative technique commonly self-administered by smokers to prevent post-operative ileus.
What is early ambulation?
500
A 1-2-3 Enema contains these components.
What is Mg sulf, Sterile Water and Glycerine mixed in a 1:1:1 ratio?
500
1. Diagnose and resolve the source of an obstruction
2. Resect any nonviable bowel
3. Minimize the occurence of an incidental enterotomy/ perforation
What are the goals of a laparotomy?
500
Symptoms of a post operative ileus.
What are: abdominal distention, diffuse abdominal pain, N/V, inability to pass flatus, inability to tolerate PO?
500
This agent works by drawing fluid into the lumen due to its hypertonic constitution. The fluid shifts decraese intestinal wall edema and stimulate intestinal peristalsis.
What is gastrographin used for both diagnostic and therapeutic purposes?