Post-Operative Management and Nursing Care Using The Nursing Process Part 2

1.10. Reduced Bowel

Reduced Bowel

Function Constipation may occur post-operatively due to opioids or anti-cholinergic. Management involves adequate hydration, appropriate nutrition and laxatives. Post-operative ileus may be caused by intra-operative bowel manipulation, pain, immobility, hypokalaemia and opioids. Features of ileus include reduced bowel function, abdominal distension, discomfort, nausea, vomiting and a reduced absorption of oral drugs. Ileus usually resolves within 24-36 hours and management involves insertion of a naso-gastric tube, analgesia and reduced oral intake.