Role of nasogastric aspiration• Reduce bowel distension• Improve pulmonary ventilation• Reduce risk of subsequent aspiration during induction of anesthesia and post extubation
2. Fluid and electrolyte replacement• I.V. fluid - to correct the fluid loss• Electrolyte solution - to make up electrolyte deficiency mainly sodium loss• Hartmann’s solution or normal saline used• Volume required to be determined by clinical hematological and biochemical criteria
3. Parenteral antibiotics• Broad spectrum antibiotics- Ampicillin, Gentamycin, Metronidazole, Cephalosporins• To correct bacterial infection• Mandatory for all patients undergoing small or large bowel resection
4. Blood Transfusion• FFP or platelet transfusions• Often needed in critical patients
5. ICU Critical Care• For systemic management of complications like ARDS, DIC, SIRS• If hypotension- Dopamine/Dobutamine
6. Indwelling Catheter• Perurethral• To collect and measure 24 hours urine output• Intake and output chart is made
7. CVP For Fluid And Monitoring• PCWP (pulmonary capillary wedge pressure) monitoring• Needed in haemodynamically unstable patients
8. Clinical Follow UpIMPROVEMENT DETERIORATION• Conservative treatment • Surgery indicated if no is carried on. improvement occurs with in 24-48 hours
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