How do you manage an ileus?

How do you manage an ileus?

How do you manage an ileus?

Treatment of ileus involves continuous nasogastric suction, nothing by mouth, IV fluids and electrolytes, a minimal amount of sedatives, and avoidance of opioids and anticholinergic drugs.

What is the nursing intervention for paralytic ileus?

Paralytic Ileus Nursing Care Plan 1

Paralytic Ileus Nursing Interventions Rationales
Encourage to increase oral fluid intake as tolerated, ideally at least 2L per day. Check if the patient is in any fluid restriction before doing so. To help soften the stool and make it easier to pass.

How do you fix paralytic ileus?

If paralytic ileus doesn’t improve on its own, your doctor may prescribe medication that causes muscle contractions, which can help move food and fluids through your intestines. If paralytic ileus is caused by an illness or medication, the doctor will treat the underlying illness or stop the medication.

What medications help with ileus?


  • Metoclopramide. Metoclopramide is a prokinetic agent that potentially could be used for POI management.
  • Erythromycin.
  • Propranolol.
  • Neostigmine.
  • Laxatives.
  • Gum Chewing.
  • Methylnaltrexone.
  • Alvimopan.

How long does an ileus take to resolve?

Prognosis is generally good as postoperative ileus typically resolves within one to three days after diagnosis with supportive care.

Can lactulose help in ileus?

Bowel movements may be stimulated by prescribing lactulose or neostigmine, but the real breakthrough in a pharmacological treatment of ileus was a drug named alvimopan. Alvimopan is a selective, peripherally acting μ-opioid antagonist which reduces the paralytic effect opiates have on the intestines.

What electrolyte imbalance can cause paralytic ileus?

Paralytic ileus, also called pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. Causes of paralytic ileus may include: Bacteria or viruses that cause intestinal infections (gastroenteritis) Chemical, electrolyte, or mineral imbalances (such as decreased potassium level)