Intestinal Obstruction

1. Low grade Cramping Abdominal Pain
2. Absolute Constipation
3. Gradual onset
4. Abdominal Distention
5. Lack of Flatus

1. Metabolic Alkalosis (vomiting Stomach Acids)
   1. Bile Color Emesis
   2. Distal Small intestine more Gradual & may even smell like feces
      1. Needs Surgery Immediately
2. Rapid Dehydration
3. Colicky & Cramp Like Pain (Intermittent)
4. Feces (for short time)
5. Minimal Distention

1. Borborgymi (Hyperactive)

1. Check q 4hrs

1. Lactated Ringers or NS (GI losses Isotonic)

1. Rising BUN & Creatinine is indicator of Acute Kidney Injury

1. hernia
2. strictures from crohn's disease
3. Diverticular Disease
4. Occulusion
5. Volvolus

Annotations:

• Something Interferes with the parasympathetic nervous System. 

1. Hypokalemia
2. Spinal Fracture
3. Anasthesia
4. Abdominal Surgery

1. Increased Permeability of Capillaries
   1. Content Leaks into Peritoneal Cavity
   2. Hypovolemic Shock
   3. Third Spacing
   4. Hypotension

1. Blood Flow stop
   1. Intestinal Strangulation/Intestinal Infarction
   2. Needs to Be corrected Immediately (Septic Shock Risk)

1. Preforation
2. Strangulation

1. Bleeding
2. Strangulation/Necrosis