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학습 자료 둘러보기 →The highest priority in the first 24 to 72 hours is monitoring for anastomotic leak and peritonitis. Assess for fever, abdominal distension, rigidity, and signs of sepsis.
Maintain the child in a supine or side-lying position. Avoid the Trendelenburg position to prevent increased intra-abdominal pressure on the fresh anastomosis.
Keep the child NPO with nasogastric tube decompression until bowel sounds return. Do not encourage early oral feeding.
Rectal temperatures, suppositories, and enemas are contraindicated postoperatively to avoid disrupting the anastomosis. Use axillary or tympanic routes.
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