PAT 401-011 WEEK SEVEN (7): P1 DISORDERS OF THE DIGESTIVE SYSTEM

PAT 401-011 WK 7: P1 Disorders Of The Digestive System (GI)

T or F neural abnormalities can also play a role in GI disorders

True

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Structural and neural abnormalities can _____ or _____ or _____ movement of intestinal contents at any level of the GI tract.

slow

obstruct

accelerate

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Most disorders of the GI disrupting secretion, motility, and absorption are _______ and ______ in nature.

inflammatory

and

ulcerative

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Obstruction or inflammation of the duct openings in the liver, pancreas, and gallbladder will result in symptoms that can be both?

local and systemic

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Obstruction of the intestinal lumen will cause?

clogging and distention = so much water that needs to be digested but is it its compressing the intestine and the mucus and ciliac cells and arterioles are getting pressed and compressed

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Obstruction of the intestinal lumen affects what outflow

venous outflow decreases and arterioles become leaky and inflamed and compressed

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: lumen pressure decreases venous outflow --> causes

inflammation and leakage

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: lumen inflammation causes release of what

cytokines which attack the cells and lead to necrosis and when you have necrosis of the gut that is not a good thing start having infection and other rotten things and bacteria ultimately you dont want peritonitis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: With inflammation of the gut you are worried about

peritonitis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Most obstruction happens in what intestine

small intestine

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Because the appendix islocated at a dead end type when it fets inflammed it is prone to?

obstruction

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: What is coliathosis explain in one sentnece

gallstones they get stuck somewhere and cause inflammation of the gallbladder sometimes they can get dislodged somewhere and cause inflammation

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Gallbladder and Gallstones are mostly deposits of what material?

cholesterol and start from the accumulation of certain things which calcify like the bile

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Normally bile is produced where and stored where and travels where?

Normally bile is produced in the liver

unused bile is stored in the gallbladder through the cystic duct

whenever we need bile it will travel down the via common bile duct

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Gallbaldder gallstones usually get stuck where

near the cystic duct whenever someone needs bile the gallbladder tries to cholecytoskinin it

biliary atresia

No opening of the bile ducts (into the duodenum).

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: What is biliary atresia

something not flowing within the pathway in a child bile backing up the liver

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: bile backup will cause what main symptom

jaundice (long term liver damage and the child will need surgery to repair tested)

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: necrotizing entercolitis what is it?

ischemic problem presenting with inflammation and necrosis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview:

Fluid and electrolyte problems are asssociated with GI disorders d/t?

impaired fluid absorption bc distention makes it hard for the intestine to absorb mor fluids and the comrpession reduces venous outflow and increases arterioles leaking (worried about vascular dehydration bc the fluid is not being absorped) so we want to hydrate IV with fluids bc obv PO will cause more blockage

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview:

Some GI common symptoms associated with many disorders think the main general ones

nausea

vomiting

decreased extracellular fluid

decreased plasma volume

dehydration

hematocrit increase

bp drops

sns response increases hr tachycardiac

hypokalemia acidosis risk understand!

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Why is there a hypokalemia and acidosis risk with GI disorders?

potassium is absorbed in the intestinal tract and failure to draw K into the intestinal tract will cause acidosis because H and K have an inverse relationship

Low H means High K

High K means Low H there woried about acid-base problems

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Acid base problems secondary to vomiting and diarrhea explain.

vomiting causes alklosis because you are losing H ions

metabolic alkalosis

Vomiting (alkalosis)

What happens with loss of hydrogen in the gastrointestinal tract?

diarrhea acidosis and alkalosis

metabolic acidosis d/t loss of bicarbonate ions

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: Perforation of anything increases wbc and fever and if that happens the intestine will leak content into putting the pt at risk for

peritonitis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview:

peritonitis worst case scenerio

can cause sepsis and loss of fluids from dehydration

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview:

some methods for tx bowel obstruction will include

decompression via suctioning

laproscopric procedures for adhesiveness

stents

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: intestinal adhesiveness is often due to?

multiple surgeries

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview:

interception intestinal child mostly presents with

knee drawn to chest this is a comfortable position

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview:what pediatric gi disorder is an ischemic medical emergency

pedatric

necrotizing

entercolitis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: appendicitis pain is where and of what type

RUL guarded and rebound pain

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: pancreatitis can cause what?

obstruction

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: how can pencreatitis lead to ards and renal issues

pressure exerted on the respiratory symptom + leaky vessels in the lungs can cause ARDS and low vascular low input to kidneys these systemic issues come back

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: general tx for gallstone

pain control + oral bile acid to break down gallstones diet and lifestyle changes to prevent reccurence

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

PROF Overview: shock wave therapy for gallstones explain

to shatter the stones

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders of the Accessory Organs of Digestion: What 3 organs are we looking at?

liver

gallbladder

pancreas

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders of the Accessory Organs of Digestion:

The liver gallbladder and pancreas secrete substances which are

necessary for digestion

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders of the Accessory Organs of Digestion: disorders of these organs include what 3 types

inflammatory disease

obstruction of ducts

tumours

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

What are the two different types of intestinal obstructions?

simple obstruction

vs

functional obstruction

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

What is simple intestinal obstruction?

any obstruction preventing the flow of chyme through either the small or large intestinal lumen

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Which intestine is more commonly affected by simple intestinal obstruction

the small intestine is more commonly obstructed because of its narrower lumen

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

What is functional intestinal obstruction

paralytic ileus

literally functional intestinal obstruction is just paralytic ileus!

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

functional intestinal obstruction causes?

failure of motility of the intestine most common after surgery

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Which intestinal obstruction is crucial to watch out for following surgery during the post-operative period?

functionla obstruction aka paralytic ileus

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

paralytic ileus aka functional intestinal obstruction is thought to be the result of a multifactoral and complex interaction between the _____ and ____ system.

autonomic system and central nervous system

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

functional intestinal obstruction disrupts the equilibrium of the intestine resulting in?

disorganized electrical activity and paralysis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

What are the 4 types of intestinal obstructions

hernitation

adhesions

volvulus

intussuception

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

herniation obstruction = who is at risk for this

individuals who do heavy weight lifting

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

adhesions intestinal obstruction is usually d/t

scar tissue from prior inflammatory experiences or surgeries (aka fibrotic scarring)

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

what is intussception intestinal obstruction

being enveloped into another part of the intestine

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Consequences of intestinal obstruction: are related to?

related to the onset and location of obstruction and presence and severity of associated ischemia

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Consequences of intestinal obstruction: What are the 5 different main consequences we need to watch out for intestinal obstruction

1) Fluid & Electrolyte Disturbances

2) Metabolic Alkalosis

3) Metabolic Acidosis

4) Hypokalemia

5) Inflammation

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Consequences of intestinal obstruction:

Prolonged vomiting leads to dehydration which is accompanied by what 2 ion changes and acid base imbalance

Prolonged vomiting leads to dehydration which is accompanied by a hypokalemic and hypochloremic metabolic alkaolisis because you lose gastric K and HCL (cl)

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Consequences of intestinal obstruction: explain fluid disturbances and the effect that has on the body

extracellular fluid volume and plasma volume decrease causing dehydration.

Bc fluid level is will cause

increased hct level bc no longer diluted

hypotension bc low blood volume obv

and tachycardia bc compensation obv

severe dehydration will lead to hypovolemic shock

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Consequences of intestinal obstruction:

Metabolic Alkalosis initially develops because of?

excessive loss of hydrogen ions that would normally be reabsorbed from the gastric juice

H + HC03 --> H20 + C02

metabolic acid base balance chemical formula^

l/s= acdidic

r/s = alklosis

vomiting = loss of free H ions leading to alkalosis shifting to R/S of equation

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Prolonged obstruction or obstruction lower in the intestine may contribute to what kind of acid base imbalance

metabolic acidosis because bicarbonate from pancreatic secretions and bile cannot be reabsorbed and therefore there is little is higher levels of bicarb in the intestine which is on the l/s making it metabolic acdiosis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus: hypokalemia from vomiting and decreased potassium can be extreme promoting

acidosis and atony of the intestinal wall

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

metabolic acidosis can also be a result of ketosis which is the result of?

declining carbohydrate stores and resorption caused by starvation or obstruction and in addition the lack of circulation permits the buildup of significant amounts of lactic acid which worsens the metabolic acidosis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

if pressure from the obstruction is severe enough it will occlude what and cause what?

It will occlude arterial circulation and cause ishcemia, necrosis, perforation, and peritonitis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

peritonitis will cause the overgrowth of?

bacteria

ischemica and bowel necrosis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

increased bacterial proliferation causes translocation across the mucousa leading to?

systemic circulation causing peritonitis and sepsis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Back to understanding Vomiting: When vomiting the stomach loses HCl a strong acid leading to the bodys total acid load the loss of HCL means there is now an excess of ____ for every H ion

there is an excess of bicarbonate in the bloodstream relative to acid shifting the body toward a more alkaline state

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology: Causes sequestration of gas and fluid _____ to the obstruction.

proximal to the obstruction

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

What effect does this have on the respiratory system.

Distension pushes against the diaphragm preventing full respiratory volume filling

1. reduces respiratory filling

--> 2. atelactasis -----> 3. pneumonia

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

What effect does this have on the vascular system and potential development of peritonitis?

Obstruction --> decreased venous return & decreased arterial blood flow --> causes edema which increases capillary permeability leading to arterioles being leaky --> release of toxins and bacterial translocation which ultimately leads to peritonitis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

What kind of adbominal pain usually presents?

colickly abdominal pain

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

What effect does this have on fluid and electrolyte imbalance?

abdominal pain --> can cause N/V --> reduced appetite --> reduced nutrient absorption --> impairs F/E imbalance

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

alkalosis happens early or late and upper or lower obstruction

alkalosis is early and high obstruction

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

alkalosis is associated with which of the following SATA

a. high cl

b. low cl

c. high hc03

d. low hc03

alkalosis is associated with acid loss so HCL loss so less CL and increased HC03 (easy)

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

Acidosis occurs in what timeline of the obstruction and usually where

late obstruction and low gi obstruction

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

Acidosis usually accompanies what other metabolic disorder

ketosis lactic acidosis d/t starvation

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

Acidosis presents with

a. High H content

B. low H content

c. High hc03 content

d. high K content

e. Low K content

acidosis is more acidic therefore High H and low K

bc h and k always work in opposition!

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

dehydration & hypokalemia often associated with late or low obstruction puts the individual at risk for what 3 (LOW values)

low fluid volume

low plasma volume

low central venous pressure

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Pathophysiology:

Intestinal obstruction --> Proximal obstruction --> Distention

T or F hypokalemia itself doesn't directly cause low fluid volume but it often occurs alongside conditions that lead to fluid loss like vomiting diarrhea or diuretic use

True

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations: The CM of intestinal obstruction depend on what 4 factors

1. location of the blockage

2. extent of the obstruction

3. degree of ischemia

4. stage of progression

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations

Is pain usually continual or intermittent for intestinal obstruction

usually intermittent on and off but when they become ischemic the pain will differ

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations

Pylorus obstruction (2) broad symptoms for both LI and SI

profuse early vomiting

just vomiting a lot and a lot

pylorus

distal region of the stomach, opening to the duodenum

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations

Pylorus Obstruction: Proximal small intestine S/S (2)

mild distention of abdomen

bile-stained vomiting

distention

the state or act of extending or being swollen out of shape

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations

Pylorus Obstruction: Lower distal small intestine symptoms (2)

pronounded distention (more) and delayed vomiting

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations

Pylorus Obstruction: Large intestine obstruction CM (3)

hypogastric pain

distention

late vomiting

hypogastric

below the stomach

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations

PARTIAL Obstruction: S/S (2)

diarrhea

constipation

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations

Complete Obstruction: most severe 5 main S/S to watch out for

constipation

increased bowel sounds

cramping

hypovolmia

metabolic acidosis

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations

Complete Obstruction:

with ischemia why is pain so severe?

think about it

ischemia --> lack of blood flow to organs --> tissue dying --> necrosis which is v painful

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Clinical Manifestations

Complete Obstruction: obstruction with ischemia in late stages will cause necrosis and perforation.

How do we know a patient may be experiencing necrosis or perforation (4) signs

necrosis dead tissue always stimulated an inflammatory response for clean up watch our for pain fever

dead rotten tissue watch our for peritonitis risk!

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Treatment

A: How do tx the fluid and electrolyte imbalances caused by vomiting

Replace the fluid and electrolytes IV

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Treatment

B: How do we treat the actual obstruction if it is something small like partial

gastric or intestinal obstruction

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Treatment

B: how do we treat adhesional obstruction

laparoscopic procedures for adhesions

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Treatment

B: how do we tx strangulation

immediate surgical intervention

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Treatment

B: how do we treat complete obstruction

immediate surgical intervention

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Treatment

B: how do we need peritonitis secondary to obstruction (2)

IV abx

fluid resuscitation

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Treatment

D: how do we tx perforation

surgery

intestinal perforation

Hole in intestines, leading to leakage of digestive tract contents into the peritoneal cavity.

**Requires immediate surgical intervention to prevent peritonitis**

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Disorders #1 Intestinal Obstructions and Paralytic Ileus:

Intestinal Obstruction Treatment

for obstruction the client is put on NPO to prevent

more blockage we need to suction out the stuck content first!

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Gastrointestinal Disorders in Children #1: Intussusception

What is it?

Telescoping or invagination of one part of the intestine into another

basically one part of the intestine envelops into another part causing obstruction

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Gastrointestinal Disorders in Children #1: Intussusception

Most Common spot for intussuception

ileum invaginating into cecum

PAT 401-011 WK 7: P1 Disorders Of The Digestive System

Gastrointestinal Disorders in Children #1: Intussusception

Why is intussuception dangerous to vascular flow?

The mesentry becomes constricted and obstructs venous return