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    VOLVULUS Patho

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    chelle_asenjo
    Volvulus is caused by abnormal rotation of the intestine during fetal development. It most commonly affects the stomach, small intestine, cecum, and transverse colon. Clinical manifestations include bowel obstruction, abdominal pain and distention, nausea, vomiting, and bloody stool. Diagnostic tests include abdominal x-rays, which may show distended bowel loops, and bloodwork. Surgical intervention is usually required to treat volvulus. Nursing care focuses on monitoring vital signs, providing comfort measures, administering medications as ordered, and preparing the patient for surgery if needed.

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    VOLVULUS Patho

    Uploaded by

    chelle_asenjo
    79 views2 pages
    Volvulus is caused by abnormal rotation of the intestine during fetal development. It most commonly affects the stomach, small intestine, cecum, and transverse colon. Clinical manifestations include bowel obstruction, abdominal pain and distention, nausea, vomiting, and bloody stool. Diagnostic tests include abdominal x-rays, which may show distended bowel loops, and bloodwork. Surgical intervention is usually required to treat volvulus. Nursing care focuses on monitoring vital signs, providing comfort measures, administering medications as ordered, and preparing the patient for surgery if needed.

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    VOLVULUS patho

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    Volvulus is caused by abnormal rotation of the intestine during fetal development. It most commonly affects the stomach, small intestine, cecum, and transverse colon. Clinical manifestations include bowel obstruction, abdominal pain and distention, nausea, vomiting, and bloody stool. Diagnostic tests include abdominal x-rays, which may show distended bowel loops, and bloodwork. Surgical intervention is usually required to treat volvulus. Nursing care focuses on monitoring vital signs, providing comfort measures, administering medications as ordered, and preparing the patient for surgery if needed.

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    79 views2 pages

    VOLVULUS Patho

    Uploaded by

    chelle_asenjo
    Volvulus is caused by abnormal rotation of the intestine during fetal development. It most commonly affects the stomach, small intestine, cecum, and transverse colon. Clinical manifestations include bowel obstruction, abdominal pain and distention, nausea, vomiting, and bloody stool. Diagnostic tests include abdominal x-rays, which may show distended bowel loops, and bloodwork. Surgical intervention is usually required to treat volvulus. Nursing care focuses on monitoring vital signs, providing comfort measures, administering medications as ordered, and preparing the patient for surgery if needed.

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    VOLVULUS ETIOLOGY: Abnormal rotation of the intestine during embryonic development

    y Malrotation of the bowel during fetal development may predispose infants to a volvulus, although a volvulus can occur in the absence of malrotation. y The most common cause of gastric volvulus in adults is diaphragmatic defects.

    RISK FACTORS: PORT OF ENTRY: ORGAN INVOLVE:


    y y y y stomach small intestine y cecum transverse colon sigmoid colon

    CLINICAL MANIFESTATION:

    bowel obstruction ( very common in infants) y constipation or difficulty releasing stools


    y abdominal pain and distention y shock y nausea and bilious vomiting y bloody or dark red stool

    DIAGNOSTIC TEST:
    y y y A CBC count, clotting studies, electrolyte level tests, and blood glucose level tests are usually sufficient for preoperative evaluation. Abdominal X-rays may show multiple distended bowel loops and a large bowel without gas. In midgut volvulus, abdominal X-rays may be normal. In cecal volvulus, barium from a barium enema fills the colon distal to the section of cecum; in sigmoid volvulus, barium may twist to a point and, in adults, take on an "ace of spades" configuration. White blood cell count, in strangulation, is greater than 15,000/l. In bowel infarction, it's greater than 20,000/l.

    DEATH NURSING INTERVENTIONS:


    y y y y y y Moni tor pul se oxi metr y and heart r ate Provi de psychol ogi cal suppo rt. Li sten to th e pati ents concerns and offer reassur ance; take ti me to an sw er hi s questi ons. Admini ster an al gesi cs and broad-spectrum anti bi oti cs as order ed. Admini ster I.V. flui ds as ordered. Obtai n bl ood for typing and cross- matchi ng. Con ti nuousl y moni to r vi tal si gns, respi ratory status,ci rcul atory status,neurol ogi c status, i n take and ou tput, becau se i nfants wi th vo l vulu s can rapi dl y decomp ensate

    y y y

    Insert a n asogastri c tube, and conn ect to lo w-pressu re i ntermi tten t sucti on , i f ordered, to reli eve abdomi nal di stenti on . Prepar e th e pati ent for proctoscopy as i ndi cated. If th e pati ent i s sch edul ed for deto rsi on surgery, provi de appropri ate preo per ati ve and posto per ati v e care, as fo r any pati ent undergoin g abdomi nal surgery

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