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Management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The management of acute gastric dilatation is as follows:

  • send bloods for determination of haematocrit, electrolytes and urea
  • pass a nasogastric tube and drain the stomach
  • replace lost fluid by intravenous administration of alternate bottles of 5% dextrose and normal saline - 40 mmol of potassium should be added to each litre
  • after 6 hrs check electrolytes and adjust the saline/ dextrose/potassium ratios as required
  • be prepared to treat any aspiration pneumonia

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