4. PATHOPHYSIOLOGY:
• NORMAL BOWEL CONTAINS GAS AND CHYME
• CHYME CONTINUES TO ACCUMULATE EVEN
WITHOUT ORAL INTAKE
• INTRINSIC OR EXTRINSIC BLOCKAGE OF BOWEL
• LEADS TO ACCUMULATION OF SECRETIONS THAT
DILATE TO THE INTESTINE
• LEADS TO INTESTINAL OBSTRUCTION
8. INTUSSUSCEPTION
DEFINITION:
Intussusception is the invagination or telescoping of
one segment of intestine into another adjacent
distal segment of the intestine.
The term ‘intussusception’ is derived from latin
words ‘intus’, meaning within and ‘suscipere’
mean to receive within.
INCIDENCE:
1-4 in 1000 live births, cause is unknown.
9. CLASSIFICATION:
It can be of three types:
1. Ileocolic: ileum invaginates into caecum.
2. Cecocolic: caecum invaginate into colon.
3. Ileoileal: one portion of ileum invaginates into
other portion of ileum.
10.
11. PATHOPHYSIOLOGY:
Leading to intestinal obstruction
Oedema occurs
Blood supply to the affected portion is cutt off
Mesentery is carried into the lumen of intestine
As upper portion of bowel invaginates into the lower
12. CLINICAL FEATURES:
Triad of symptoms (Colicky abdominal pain,
Bilious vomiting, “Currant jelly” like stool).
Abdominal pain
Lethargic and fever
Vomiting
DIAGNOSTIC EVALUATION:
Barium enema
Abdominal ultrasound
13. NURSING MANAGEMENT:
A. Pre-operative nursing care:
Withhold oral fluids 6-8 hours prior to surgery.
Administer I/V fluids.
Nasogastric suction for decompress of bowel.
I/O chart to be maintained.
Adminsiter antibiotics to treat infection.
14. B. Post- operative nursing care:
Monitor vital signs
Observe the incision site
Dressing the incision site
Monitor abdominal girth
Gastrointestinal suctioning is done to keep the
stomach and intestine empty.
Monitor urine output
Auscultate the bowel sounds.