Paralytic ileus can affect any part of the intestine. Causes can include:
- Abdominal surgery
- Pelvic surgery
- Certain medications, including antidepressants and pain medications that affect muscles and nerves
- Muscle and nerve disorders, such as Parkinson's disease
Nursing Diagnosis for Paralytic Ileus : Risk for Hypovolemic Shock
related to: the lack of body fluid volume.
Goal: hypovolemic shock does not occur.
- Vital signs are within normal limits,
- volume of body fluid balance,
- fluid intake met.
1. Monitor general condition
Rationale: Establish baseline data to determine the patient's deviation from normal condition.
2. Observations of vital signs
Rationale: It is a reference to determine the patient's general condition.
3. Assess fluid intake and output
Rationale: To determine the body's fluid balance.
4. Collaboration in the provision of intravenous fluids
Rationale: To meet the water balance.
Nursing Diagnosis for Paralytic Ileus : Impaired Bowel Elimination
related to: constipation
Goal: Impaired elimination pattern does not occur
Expected outcomes: Patterns of normal bowel elimination
1. Assess and record the frequency, color and consistency of stool
Rationale: To determine the presence or absence of abnormalities that occur in fecal elimination.
2. Auscultation of bowel sounds
Rationale: To determine whether or not normal bowel movements.
3. Encourage clients to drink plenty
Rationale: To stimulate spending feces.
4. Collaboration in the provision of laxative therapy
Rationale: To provide ease of elimination needs.