Treatments for Enterocolitis
Treatments for Enterocolitis
The list of treatments mentioned in various sources
for Enterocolitis
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Book Excerpts: Treatment of Enterocolitis
Treatments of Enterocolitis: Online Medical Books
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Pseudomembranous enterocolitis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
A patient receiving broad-spectrum antibiotic therapy must discontinue antibiotics at once. Effective treatment usually includes metronidazole. Oral vancomycin is usually given for severe or resistant cases. A patient with mild pseudomembranous enterocolitis may receive anion exchange resins, such as cholestyramine, to bind the toxin produced by C. difficile. Supportive treatment must maintain fluid and electrolyte balance and combat hypotension and shock with pressors, such as dopamine and levarterenol.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Necrotizing enterocolitis:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Nothing by mouth, nasogastric tube, dextran, antibiotics, surgery, removal of umbilical catheter, bowel rest, supportive care (total parenteral nutrition, I.V. fluid replacement)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Pseudomembranous enterocolitis:
Treatment
(Handbook of Diseases)
A patient who’s receiving broad-spectrum antibiotic therapy requires immediate discontinuation of the antibiotics. If possible, medications that slow peristalsis should be avoided. Effective treatment usually includes orally administered metronidazole (250 mg). Oral vancomycin is usually given for severe or resistant cases, but this drug is costly.
Supportive treatment must main-tain fluid and electrolyte balance and combat hypotension and shock with pressors, such as dopamine and levar-terenol.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Necrotizing enterocolitis:
Treatment
(Handbook of Diseases)
The first signs of NEC necessitate discontinuation of oral intake to rest the injured bowel. I.V. fluids, including total parenteral nutrition, maintain fluid and electrolyte balance and nutrition during this time; passage of a nasogastric (NG) tube allows bowel decompression.
Correction of hypoxemia, hypotension, acidosis, and any other reversible medical problems is needed. Optimizing cardiac performance is necessary. Serial physical examinations, platelet counts, lactate levels, and ABG levels are the most useful indications of progressive sepsis.
Antibiotic therapy
Drug therapy consists of parenteral administration of a broad-spectrum antibiotic to suppress bacterial flora and prevent bowel perforation. (These drugs can also be administered through an NG tube, if necessary.)
Surgery
Surgery is indicated if the patient shows any of the following signs or symptoms: signs of perforation (free intraperitoneal air on X-ray) or symptoms of peritonitis, respiratory insufficiency (caused by severe abdominal distention), progressive and intractable acidosis, or DIC. Surgery removes all necrotic and acutely inflamed bowel and creates a temporary colostomy or ileostomy.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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