Reference no: EM133802103

Question

Management Plan for Small Bowel Obstruction (SBO) Diagnostic Test: Abdominal X-Ray - Small bowel obstruction Complete Blood Count - mild hemoconcentration Comprehensive Metabolic Panel - Elevated BUN/creatinine ratio, consistent with dehydration; Low-normal potassium and hypochloremia, consistent with emesis Lipase - Normal Urinalysis (UA) - Specific gravity high end of normal suggesting dehydration Medications/Treatments: Admit to hospital for supportive care to include bowel rest, or nothing by mouth (NPO), and NGT for decompression (Catena et al., 2019). Treatment may also include IV fluids, pain control, and anti-emetics Catena et al., 2019). Conservative, or non-surgical, treatment is the initial therapy of choice for patients with small bowel obstruction. This includes nil per os and decompression via nasogastric tube. Ms. D.J. had two prior abdominal surgeries and, with an 85% sensitivity and 78% specificity in predicting adhesive bowel obstructions, this is most likely the etiology of her abdominal pain. (Catena et al., 2019). Referrals/Consultations: GI consult Surgery consult Adhesive small bowel obstruction is a common surgical emergency and carries a high morbidity rate (ten Broek et al., 2018). GI and surgery should be consulted to rule out peritonitis, strangulation, and ischemia, and to determine if surgical intervention is required (ten Broek et al.,