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Please read the information about this complex patient carefully and answers the following questions as

Patient Information

Jessica Fong is an active 30 year old who was involved in a motor vehicle accident. She sustained a closed head injury, and a fractured right tibia and fibula, which required an ORIF (Open Reduction and Internal Fixation). Her other injury is a perforated bowel there is no previous issues with her digestive tract in her medical history and . She has had a laparotomy and loop ileostomy formation. After surgery she developed a paralytic ileus.

Medical/Surgical Issues:

Closed head injury
# right tib/fib – ORIF now using a walking frame
NGT (Nasogastric tube) – for paralytic ileus
Loop ileostomy
Surgical abdominal wound

Q1

Explain why a paralytic ileus requires a NGT insertion as part of its management?

 

Q2

Why might a loop ileostomy be performed instead of a regular ileostomy?

 

 

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