You're the surgical resident on-call and you were referred a 57-year-old female with a 4-day history of nausea, vomiting and constipation. She had history of several laparotomies in the past for colon cancer. The last one was about a year ago. She's alert and her vital signs were: BP 90/70, HR 110 bpm and O2 sat 98% on 2 L/min oxygen via face mask. Your first step in managing her is to:
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Give her 2L of Ringer's Lactate
She probably has adhesive SBO with hypovolaemia from vomiting (BP 90/70, HR 110). The first step is IV fluid resuscitation with Ringer's lactate. Her airway is fine: she is alert with SpO2 98%, so intubation is not needed. CT and theatre come only after she has been resuscitated.
- المصدر
- INTESTINAL OBSTRUCTION.pdf · p. 19
Bowel obstruction - Afnan.pdf · p. 17
Surgical Principles - Bowel Obstruction.pdf · p. 4 - المحاضرة
- Bowel obstruction · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 40 Q36