Young lady with unresolving tachycardia and other complicatins after intestinal obstruction surgery

    
      Re: Young lady with unresolving tachycardia and other complicatins after intestinal obstruction surgery
    


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Posted by HFHSM.D.-yz on February 04, 1998 at 14:14:19:

In Reply to: Young lady with unresolving tachycardia and other complicatins after intestinal obstruction surgery posted by Shailendra on January 28, 1998 at 09:18:40:

: To all,
         A 24 year old woman came to the hospital emergency room with
  abdominal distension.  She had been admitted earlier to another hospital
  where she complained of vomiting, diarrohea,for 3 days.  She was treated  
  with loperamide and domperidone.  She later started developing abdominal
  distension.  After tapping the fluid,  distension again started.  The
  fluid was normal in fluid contents.  Admitted on Sunday to our hospital.
  Emergency operation was done to relive obstruction.  The cause of
  obstruction was omental piece winding around the distal ilieum.  Post-op
  period initially was ok except fof tachycardia.  However tachycardia
  persisted and Spo2 started decreasing and she has to be put on ventilator.
  BP was 120 systolic but diastolic hard to measure but around 80.
  RR-45/min
  pulse feeble
  cvp- 2 cm of H2O later came upto 7-9 cmof H2O
  Little or no Abdominal distension.
  Digitalization started but Heart rate still 140/min
  T3 and T4 levels normal.
  ELectrolytes normal except slight hypokalemia.
  Lady was pregnant and delivered healthy baby 6 months back
  She comes from middle class family.
  Other info upon request. Please e-mail.
  Thanking you,
                Shailendra
______________________________________
Dear Shailendra,
     After reading your description of the patient