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. CBC, Na, K, BUN, Cr, BS, PT, PTT, INR, UA
9. ABG
10. ECG
11. Cardiac monitoring & Pulse oximetry (if very ill)
12. Supplemental O2 (3-4 lit/min)
13. CXR (upright)
14. Abdominal X-ray (supine & upright)
15. Abdominopelvic sonography (CT scan may also be indicated)
16. Amp Ranitidin 50 mg / IV / bd
17. Amp Ceftriaxon 1 gr / IV / bd
18. Vial Metronidazol 500 mg / IV / qid
19. Cadiology consult
20. Reserve 6 units of PC
21. Informed concent for colostomy