Small Bowel Obstruction

Posted: April 4th, 2019

SYSTEM DISORDER

STUDENT INITIALS (FIRST, LAST):________
DISEASE/DISORDER: ___________________________________________________

Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention

ASSESSMENT SAFETY CONCERNS
RISK FACTORS EXPECTED FINDINGS

LAB TESTS DIAGNOSTIC PROCEDURES

PATIENT-CENTERED CARE COMPLICATIONS
NURSING CARE MEDICATION CLIENT EDUCATION

THERAPEUTIC PROCEDURES INTERPROFESSIONAL CARE

WORD DOC VERSION OF ATI SYSTEM DISORDER 2023 KAD

the diagnosis is (Small Bowel Obstruction )

______________________
STUDENT INITIALS (FIRST, LAST): K.A.D.
DISEASE/DISORDER: Small Bowel Obstruction

Alterations in Health (Diagnosis):
Small bowel obstruction occurs when there is a blockage in the small intestine that prevents food, fluid, and gas from passing through the bowel. The obstruction can be caused by a variety of factors, including adhesions, hernias, tumors, inflammation, or twisting of the bowel. The resulting buildup of fluid and gas can cause abdominal distention, cramping, and vomiting.

Pathophysiology Related to Client Problem:
Small bowel obstruction disrupts the normal function of the small intestine, which is responsible for absorbing nutrients and fluids from food. The obstruction can lead to increased pressure within the bowel, which can cause edema, inflammation, and ultimately necrosis of the bowel wall. If left untreated, the obstruction can progress to bowel perforation, sepsis, and even death.

Health Promotion and Disease Prevention:
To prevent small bowel obstruction, it is important to maintain a healthy diet, stay hydrated, and avoid foods that are difficult to digest. It is also important to avoid smoking and excessive alcohol consumption, which can increase the risk of inflammation and damage to the bowel.

ASSESSMENT:

Abdominal distention
Abdominal pain and cramping
Vomiting
Constipation or diarrhea
Decreased or absent bowel sounds
Dehydration
Tachycardia
Hypotension
EXPECTED FINDINGS:

Abdominal x-ray or CT scan showing bowel dilation
Increased white blood cell count
Electrolyte imbalances
Dehydration
RISK FACTORS:

Previous abdominal surgery or trauma
Inflammatory bowel disease
Cancer
Abdominal hernias
Intestinal adhesions
Intussusception (a telescoping of one part of the intestine into another)
Volvulus (twisting of the bowel)
SAFETY CONCERNS:

Risk of bowel perforation and sepsis
Risk of electrolyte imbalances and dehydration
Risk of aspiration due to vomiting
LAB TESTS:

Complete blood count (CBC)
Electrolyte panel
Urinalysis
DIAGNOSTIC PROCEDURES:

Abdominal x-ray
CT scan
Upper GI series (barium swallow)
PATIENT-CENTERED CARE:

Monitor vital signs and fluid balance
Administer IV fluids and electrolyte replacements as needed
Administer antiemetics and pain medication as ordered
Prepare for possible surgical intervention
Provide education on dietary modifications and the importance of hydration
NURSING CARE:

Assess for abdominal distention and pain
Monitor bowel sounds and bowel movements
Administer medications as ordered