intestinal pseudo-obstruction:also called ogilvie's syndrome ,because he first described the condition in two patients , with advanced cancer and involvement of subdiaphragmatic autonomic plexus , and postulated an imbalance between sympathetic and parasympathetic activity as the underlying cause ,
how to deal with intestinal obstruction - emergency :
fluid and electrolyte given iv , the usual crystalloid consist of isotonic saline and 5%dextrose , initially large amount administrated (1L every 3-4hr) to replace losses , maintenance iv fluid continued until normal bowel function return , the usual daily requirement of K potassium is 40-120mmol , are met by infusion of 60-80mmol of KCL potassium chloride in divided dose over 24hr , in severe hypokalemia , up to 40mmol may infused over 1hr in 500cc N/S , it is important to remember that potassium always administrated slowly , never give bolus injection because a very high risk of cardiac arrhythmia and arrest