Digestive Disorders / Gastroenterology Expert Forum
Metabolic acidosis
About This Forum:

This is a place to ask questions about digestive problems and receive a personal answer from a highly qualified doctor. You will also find support from other members who share your interest in digestive disorders. Digestive Disorders include: Anal and Rectal problems, Barrett’s Esophagus, Bleeding in the Stomach and Digestive Tract, Constipation, Crohn’s Disease, Gastritis, GERD, Heartburn, Proctitis, Short Bowel Syndrome, Ulcers, Whipple’s Disease, Zollinger-Ellison Syndrome (and many more).

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank

Metabolic acidosis

Posted By Susan on June 12, 1998 at 23:22:00:







I'm an RN and I have this patient who had pancreatitis due to gallstones. She had explo-lap /cholecystectomy a month ago and was intubated prior to surgery because of her acidosis. She was extubated 6 days post-op but got re-intubated 2 days after and has been trached already but still unable to be weaned off the vent. She has an ongoing problem with ileus, started her with tube-feeding with resultant diarrhea or high amount of residual in her ngt. She's 70 y/o with hx of same 8 yrs. ago treated with ERCP and has been dx with DM afterwards and sl. hypertension left untreated since pt. is afraid to go to doctors. This last 3 days, she has worsening metabolic acidosis, was brought back to OR today for exploration due to increasing abdominal distention  but no dead bowels were found, only inflammation and some redness in the bowels and pancreas. Still have high wbc,no bands. Of course, now she's got stool + vre. Can you please explain the ongoing metabolic acidosis and the ileus after all this time(1 month after original surg.) and treatment suggestions?
Related Discussions
Continue discussion Blank
This Forum's Experts
351246_tn?1379685732
Dr. Kokil MathurBlank
Consultant
,
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank