Paralytic ileus is an obstruction of the intestine caused by paralysis of the intestinal muscle resulting from physiological, neurogenic, or chemical imbalances rather than mechanical causes. It is the second most common reason for hospital readmission within 30 days of surgery. Symptoms include abdominal cramping, nausea, vomiting, diarrhea, distention, and constipation. Diagnosis is typically made through x-ray, and management involves bowel rest with NG tube decompression if needed, IV fluid replacement, withholding opioids, and mobilization when possible.

1. Paralytic Ileus
By Giean Kyle Miguel

2. PARALYTIC ILEUS
➢ Obstruction of the intestine d/t paralysis of the intestinal muscle.
➢ Second most common reason for hospital re-admission in the first 30 days
after surgery.
➢ Non-mechanical obstruction caused by physiologic, neurogenic, or chemical
imbalances. CAUSES :
➢ Hydromorphone (Dilaudid)
➢ Morphine
➢ Oxycodone
➢ Tricyclic antidepressants
(amitriptyline & imipramine
[Tofranil])
CAUSES :
➢ Intestinal Cancer
➢ Crohn’s disease
➢ diverticulitis
➢ Parkinson’s disease

3. RISK FACTORS
➢ Electrolyte imbalances
➢ Hx of intestinal injury or trauma
➢ Sepsis
➢ Peripheral artery disease
Aging naturally slows down
how fast the intestines
move. An older adult is at
greater risk for ileus,
especially since they tend
to take more medications
that could potentially slow
movement of material
SIGNS & SYMPTOMS
➢ Abdl. cramping
➢ N/V
➢ Constant, diffuse discomfort
➢ Diarrhea may be present in
partial obstruction
➢ Abdl. distention
➢ Abdl. rigidity
➢ Constipation
➢ Borborygmi

4. DIAGNOSIS
X-Ray

5. MANAGEMENT
➢ NPO
➢ NG tube or nasointestinal tube for decompression
➢ Enemas maybe helpful
➢ F&E replacement are important
➢ Ice chips sparingly
➢ Closely monitor I&O
➢ Withheld opioids
➢ Mobilize patient if possible
Source: www.healthline.com/healt