Tom R. is a 78 year old man who presents to the ER with a 3-day history of intermittent abdominal pain, bloating, and na

[answerhappygod]

Tom R. is a 78 year old man who presents to the ER with a 3-day
history of intermittent abdominal pain, bloating, and nausea and
vomiting. Tom’s history includes colon cancer 3 years ago, and
ventral hernia repair 1 year ago. He has no history of cardiac
disease, diabetes, or pulmonary disease. He only takes Ibuprofen
occasionally for arthritis pain. Allergies include sulfa drugs and
meperidine. T.R. tentative diagnosis is small bowel obstruction. TR
is being admitted for diagnostic work up. His vitals are stable and
he is receiving D5 ½ with 20 meq KCL at 100 ml/hr and oxygen via
nasal cannula at 2 liters. he physician orders a nasogastric tube
(NGT) to be placed and hooked to low intermittent suction:
What would your interventions be if new drainage was present
after 2 hours.
The NGT suddenly drains 600 of green-brown drainage, what would
your action be?