You are on page 1of 1

Paraclinicals:

Blood samples may be taken to test for infection, anemia, kidney and liver function.

Blood urea nitrogen (BUN) level - If the BUN level is increased, this may
indicate dehydration.
Creatinine level - Creatinine level elevations may indicate dehydration
Complete blood count (CBC) - The white blood cell (WBC) count may be
elevated with a left shift in simple or strangulated obstructions; increased
hematocrit is an indicator of dehydration.
Plain X-ray of the abdomen may help to confirm a diagnosis.
Ultrasound may be useful in examining the small bowel.
A contrast dye enema X-ray may help in detecting a low-level obstruction or adhesions in the
small bowel.
CT scanning may be used to determine the need for surgery in a small bowel obstruction.

Management:

Insert NGT to removes fluids and gas and helps relieve pain and pressure.
Give fluids intravenously for as many as six to eight hours to relieve
dehydration by restoring electrolyte levels in the body and to prevent shock
during surgery.
Insert urinary catheter to monitor fluid output.
Give antibiotics before surgery (if bowel ischemia or infarction is suspected)
Give analgesics if needed.
Surgery to look at the intestine and remove scar tissue (adhesions).

You might also like