Salem sump for gastric decompression

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Reference no: EM133881424

Question

Mike Sharp, a 52-year-old male client, is admitted to the medical-surgical unit with a small bowel obstruction confirmed by abdominal X-ray showing abnormal quantities of gas and fluid in the small intestine partially blocking it. The client states that he has colicky pain, nausea, vomiting of stomach contents, and passed mucus and blood but has had no bowel movement. The abdomen

is distended, and there are no bowel sounds present. The following orders are noted on the chart:

Admit to medical-surgical unit with small bowel obstruction. No known drug allergies.

Keep NPO; IV: D5 ½ NS at 125 mL/h.

Renal profile, liver profile, CBC with differential; report any abnormal labs

Place a Salem Sump to continuous low suction.

Measure abdominal girth every shift.

Hourly I&0; daily weights

The LP/LVN needs to insert the Salem Sump and provide nursing management for the client receiving stomach decompression therapy.

(Learning Objective 2)

1. ???Explain the nursing management of a client with the Salem Sump for gastric decompression.

2. ???What is the best way to assess for bowel sounds while the client has a Salem Sump?

3. ???What electrolytes do we need to monitor, and why are they being affected by the sump?

4. What risks does this patient have to the mucosa?

Reference no: EM133881424

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