What are nursing interventions to treat small bowel obstruction?
Treatment includes intravenous (in the vein) fluids, bowel rest with nothing to eat (NPO), and, sometimes, bowel decompression through a nasogastric tube (a tube that is inserted into the nose and goes directly to the stomach). Anti-emetics: Medications may be required to relieve nausea and vomiting.
What are the goals of treatment for an intestinal obstruction?
The management of bowel obstruction depends upon the etiology, severity, and location of the obstruction. The goals of initial management are to relieve discomfort and restore normal fluid volume and electrolytes.
What is the nursing diagnosis for IBS?
At least two of the following features should be present to diagnose IBS: altered stool passage, which may mean incomplete evacuation or straining; abdominal bloating; symptoms exacerbated by eating; and passage of mucus. The diagnosis can be considered if there have been persistent symptoms over six months.
What is a nursing goal for constipation?
The following are the common goals and expected outcomes for constipation. Patient maintains passage of soft, formed stool at a frequency perceived as “normal” by the patient. Patient states relief from discomfort of constipation. Patient identifies measures that prevent or treat constipation.
How do you prevent a small bowel obstruction?
To prevent another blockage
- Try to eat smaller amounts of food more often.
- Chew your food very well.
- Avoid high-fibre foods and raw vegetables and fruits with skins, husks, strings, or seeds.
- Check with your doctor before you eat whole grain foods or use a fibre supplement such as Benefibre or Metamucil.
What is the most important thing the nurse should do when caring for a patient who has contracted Clostridium difficile?
Clean their hands with soap and water or an alcohol-based hand rub before and after caring for every patient. This can prevent C. diff and other germs from being passed from one patient to another on their hands. Carefully clean hospital rooms and medical equipment that have been used for patients with C.
How will manage a patient with intestinal obstruction?
Management of uncomplicated obstructions includes fluid resuscitation with correction of metabolic derangements, intestinal decompression, and bowel rest. Evidence of vascular compromise or perforation, or failure to resolve with adequate bowel decompression is an indication for surgical intervention.
How do you care for someone with IBS?
Try to:
- Experiment with fiber. Fiber helps reduce constipation but also can worsen gas and cramping.
- Avoid problem foods. Eliminate foods that trigger your symptoms.
- Eat at regular times. Don’t skip meals, and try to eat at about the same time each day to help regulate bowel function.
- Exercise regularly.
What is Nanda nursing diagnosis for constipation?
Constipation is defined by NANDA-I as, “A decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool and/or passage of excessively hard, dry stool.” Typically a patient is diagnosed with constipation if they have less than three bowel movements per week.
How can I advance my diet after a small bowel obstruction?
Reduce tough, fibrous fruit and vegetables – chop these foods finely where possible (e.g. celery, mango). Avoid dried fruits, nuts & seeds. Strain fruit and vegetable juices and soups. Avoid wholegrain, high fibre breads and cereals.
What is the best diet for small bowel obstruction?
Diet for partial small bowel obstruction can be what is referred to as a full liquid diet. A full liquid diet is really most liquids, as well as foods that turn into a liquid at room temperature. This includes anything from the clear liquid diet and ice cream, strained cream soups, pudding or custard, and butter or margarine.
How long does a small bowel obstruction take to resolve?
Surgery is warranted in patients with intestinal obstruction that does not resolve within 48 hours after conservative therapy is initiated. Study found that conservative management beyond 48 hours does not diminish the need for surgery, but increases surgical morbidity.
How do you prevent small bowel obstruction?
Dietary changes are commonly recommended to prevent bowel obstructions. People prone to obstructions or individuals diagnosed with a small obstruction should eat smaller meals frequently throughout the day and adopt a low-fiber diet that eliminates whole grains, nuts and seeds.
How to home treat a bowel obstruction?
Drink more water This allows you to prevent any blockage in your GIT (gastrointestinal tract) and should maintain the proper function and health of your colon.