Pathophysiology Predisposing Factors: Gender (Boy) Colonic mass Intestinal obstruction Sequestration of gas and fluid proximal to obstruction

Precipitating Factors: Family History

Distension Pressure on diaphragm Respiratory Volume Atelectasis Pneumonia Surgical treatment Surgical incision (abdominal area) Risk for infection related to surgical incision Impaired skin integrity related to tissue trauma Acute pain related to tissue trauma secondary to hemi colectomy Colicky abdominal pain Alkalosis Nausea and vomiting
(Decrease food intake) (Decrease nutrient absorption) (Decrease CHO reserves) (Ketosis)

Loss of water and electrolytes

Acidosis Ketosis Lactic acidosis

Prolonged increase of intraluminal wall tension Dehydration Hypokalemia Hypochloremia

Decrease venous return

Intestinal bowel wall edema Increase Capillary permeability (fluid loss to peritoneum) Release of toxins Fever Bacterial Translocation Peritonitis Shock Reference: Lippincott (2002).Pathophysiology Concepts of Altered Health States.6th edition. Page851 Hypovolemia Extracellular fluid volume Plasma volume Hemoconcetration Central venous pressure Tachycardia