دستورات اولیه برای انسداد روده

1. NPO
2. CVS Q4h & chart
3. NG tube fixed
4. Foley Cath fixed
5. Chart I/O, NGT
6. Serum NS 1000 cc / IV / stat free (more stat serum if needed)
7. Serum half saline 1000 cc / IV / tds
8. Check CVP q2h
9. CBC, Na, K, BUN, Cr, BS, PT, PTT, INR, UA
10. ABG
11. ECG
12. Cardiac monitoring & Pulse oximetry (if very ill)
13. Supplemental O2 (3-4 lit/min)
14. CXR (upright)
15. Abdominal X-ray (supine & upright)
16. Abdominopelvic sonography (CT scan may also be indicated)
17. Amp Ranitidin 50 mg / IV / bd
18. Amp Ceftriaxon 1 gr / IV / bd
19. Vial Metronidazol 500 mg / IV / qid
20. Cadiology consult
21. Reserve 6 units of PC
22. Informed concent for colostomy