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Bowel obstruction Strangulated, Manifestations Nausea and vomiting, but vomiting more likely in small intestine obst- ruction., Blood flow to the colon is compromised causing bacteria to form an endo- toxin as well as necrosis within that area. blood loss/hemmorhage occurs within the intestine and the peritoneum., 72 year old male who had a bowel obstruction with necrosis and hemmorhage. a new colostomy was put in place after having a partial colectomy. Causative and risk Factors, my patient is S/P colectomy. He also has a colostomy surgery was done due to necrosis and hemmorhaging of his bowel., Treatments IV antibiotics if strangulation is suspected, Causative and risk Factors paralytic, adynamic, ileus is a non-mechanical obstruction caused by physiologic, neurogenic, or chemical imbalances associated with decreased peristalsis from trauma or the effect of a toxin., Causative and risk Factors Volvulus- twisting of the intestines., blood loss/hemmorhage occurs within the intestine and the peritoneum. Surgical repair of the colon by having a partial colectomy and insertion of a colostomy., Diagnostic Tests sigmoidoscopy or colonoscopy, Diagnostic Tests obstruction in the large intestine likely to show low serum venous CO2 suggesting metabolic acidosis