Question

Your 54 year-old patient undergoes intra-abdominal surgery for an appendicitis. During his post-operative recovery he develops constipation and abdominal discomfort due to a paralytic ileus (paralysis of the bowel) that can result from surgical manipulation of the intestines. From the list of options below, which would best treat his condition?

A. Ipratropium
B. Neostigmine
C. Physostigmine
D. Scopolamine
E. Tubocurarine

Answer 1

Physostigmine is the best treatment for paralytic ileus.

Step-by-step explanation:

The best treatment for your patient's condition, paralytic ileus, would be physostigmine.

Physostigmine is a type of drug known as a cholinesterase inhibitor, which means it inhibits the enzyme that breaks down acetylcholine, allowing acetylcholine to build up and stimulate the bowel. This can help alleviate constipation and abdominal discomfort caused by the paralysis of the bowel.

Ipratropium, neostigmine, scopolamine, and tubocurarine are not indicated for the treatment of paralytic ileus.