Initial management
History, Examination, Investigations
- iv access
- normal saline or haemacell (if shock)
- nasogastric tube - if obstruction is suspected
- analgesia
- for example, pethidine (not morphine - this is because morphine causes contraction of the sphincter of Oddi (gallstones may aggravate condition e.g. acute pancreatitis)
- if renal colic then also use a non-steroidal e.g. voltarol
- an antispasmodic may be useful if colicky pain
- other procedures
- give O2 (if patient is breathless)
- CVP line may be necessary
- intravenous antibiotics if infection is suspected e.g. diverticulitis
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