Sandbox: wdx causes: Difference between revisions

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!Intestinal adaptation
!Intestinal adaptation
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!Phase
!Phase
!Duration
!Duration
!Main feature
!Therapy
!Therapy
!Measurement
!Measurement
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|Acute phase
|Acute phase
|1 to 3 months
|1 to 3 months
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* [[Hypovolemia|Fluid loss]]
* Poor [[absorption]] of all [[Nutrient|nutrients]], including [[Carbohydrate|carbohydrates]], [[Protein|proteins]], [[fat]], [[Electrolyte|electrolytes]], [[Mineral|minerals]] and trace elements
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* Aggressive fluid and electrolyte replacement 
* Aggressive fluid and electrolyte replacement 
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|Adaptive phase
|Adaptive phase
|1 to 2 years
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* Reaching 90% to 95% of the bowel [[adaptation]] potential
* Gaining weight
* Stabilization of [[fluid]] and [[electrolyte]] levels
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|Maintenance phase
|Maintenance phase
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Revision as of 20:02, 6 December 2017

Intestinal adaptation
Management
Phase Duration Main feature Therapy Measurement
Acute phase 1 to 3 months
  • Aggressive fluid and electrolyte replacement 
  • Cyclical parenteral nutrition (overnight feeding)
  •  Prophylactic oral antibiotics such as neomycin and metronidazole
  • Prophylaxis with cholecystokinin
  • Initiating enteral feeding 
  • Frequent measurements of vital signs, intake and output, and central venous pressures  
Adaptive phase 1 to 2 years
Maintenance phase