What is the pathophysiology behind intussusception? Why is Joseph’s abdominal pain intermittent instead of continuous? What treatment would the nurse expect to implement for this patient?
1. Joseph Williams is a 2-year-old patient who presents to the emergency room with abrupt onset of severe, paroxysmal, colicky abdominal pain. The child appears weak, ill, and lethargic and does not cry when the nurse starts an IV. Joseph’s mother, Lisa, states, “Joseph had jelly-like stool yesterday, but I thought he was just getting a stomach bug. He had a brief episode of pain, but then was acting perfectly normal and playing five minutes later. I thought he just had gas until it happened again today and hasn’t gone away.” (Learning Objectives: 3, 4, 6)
What is the pathophysiology behind intussusception? Why is Joseph’s abdominal pain intermittent instead of continuous? What treatment would the nurse expect to implement for this patient?
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