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Gunshot Wound To The Abdomen

WHAT YOU NEED TO KNOW:

A gunshot wound (GSW) to your abdomen may cause damage to your liver, stomach, intestines, colon, or spine. It may also cause damage to your kidneys, bladder, or other structures in your abdomen.

WHILE YOU ARE HERE:

Informed consent

is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

Monitoring:

  • Telemetry is continuous monitoring of your heart rhythm. Sticky pads placed on your skin connect to an EKG machine that records your heart rhythm.
  • Pulse oximetry is a device that measures the amount of oxygen in your blood. A cord with a clip or sticky strip is placed on your finger, ear, or toe. The other end of the cord is hooked to a machine. Never turn the pulse oximeter or alarm off. An alarm will sound if your oxygen level is low or cannot be read.
  • Intake and output may be measured. Healthcare providers will keep track of the amount of liquid you are getting. They also may need to know how much you are urinating. Ask healthcare providers if they need to measure or collect your urine.

Medicines:

  • Antibiotics may be given to help treat or prevent an infection caused by bacteria.
  • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.
  • A tetanus shot may be given. Tetanus is a severe infection caused by bacteria found in dirt, manure, and dust. Tell your healthcare provider if you have had the tetanus vaccine or a tetanus booster within the last 5 years.

You may need extra oxygen

if your blood oxygen level is lower than it should be. You may get oxygen through a mask placed over your nose and mouth or through small tubes placed in your nostrils. Ask your healthcare provider before you take off the mask or oxygen tubing.

Tests:

  • Blood and urine tests will show infection and kidney function, and give healthcare providers information about your overall condition.
  • An x-ray, ultrasound, CT, or MRI may be done to monitor your condition. You may be given contrast liquid to help your organs or blood vessels show up better in the pictures. Tell the healthcare provider if you have ever had an allergic reaction to contrast liquid. Do not enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if you have any metal in or on your body.

Treatment:

  • A blood transfusion may be given if you have lost blood from your GSW.
  • IV fluids may be given to prevent dehydration and help your circulation.
  • A nasogastric tube may be inserted to remove air, fluid, or blood from your stomach. A nasogastric (NG) tube is a long, thin, flexible tube inserted through your nose and down into your stomach or small intestine.
  • Compression of the pelvis may be needed if a GSW has caused your pelvis to break. A pelvic fracture may cause heavy bleeding. A binder or a tightly wrapped sheet may be wrapped around your pelvis to prevent or stop bleeding.
  • A foley catheter is a tube put into your bladder to drain urine into a bag. It will help your healthcare provider monitor your kidney function.
  • Surgery may be needed to repair damage to organs or blood vessels. It may also be needed to clean your GSW or remove bone fragments. Your healthcare provider can close your GSW with stitches or staples, or leave it open. Your GSW may need to be left open to allow swelling to decrease and tissues to heal.
  • A ventilator is a machine that gives you oxygen and breathes for you when you cannot breathe well on your own. An endotracheal (ET) tube is put into your mouth or nose and attached to the ventilator. You may need a trach if an ET tube cannot be placed. A trach is a tube put through an incision and into your windpipe.

RISKS:

Your organs in your abdomen may be damaged. You may bleed heavily from the wound or develop an infection. Lead from the bullet may cause damage.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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