paralytic ileus or ileus

A condition in which there is an absence of peristalsis in the intestine and contents are not moved along and eliminated.

1 mo old female with ileus below:

Etiology:

  • surgical physiological stress
  • abdominal infection
  • abdominal surgery
  • medications  – opiates
  • Peritonitis
  • Spinal cord injusry
  • electrolyte imbalance

Manifestations:

  • abdominal distension and discomfort
  • nausea
  • emesis
  • lack of bowel movement and flatulence
  • constipation

Treatment:

patient remains NPO status until GI and bowel sounds are heard.

Some types of laxatives (to be avoided in cases of bowel obstruction)

Surgery for bowel obstruction

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