Intestinal Obstruction — Uganda (General Adult population)
Pre-operative
Nil by mouth. NGT decompression. IV fluids (NS/RL) to correct deficit. Insert urinary catheter.
Antibiotics
Ceftriaxone 2 g IV once daily + Metronidazole 500 mg IV every 8 hours.
Pain Relief
Pethidine 50-100 mg IV or IM if in severe colicky pain.
Surgery
Laparotomy if no improvement after 72h or if fecolent NGT aspirate.
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