4 Ostomies Flashcards
stoma
Artificially created opening between a body cavity and the surface of the body.
Two types: end & loop.
ileostomy indications
- inflammatory bowel disease
- familial polyposis
- diversion for distal anastomosis
- congenital anomalies
- trauma
small intestine functions
- digestion
- absorption
- receptor sites
ileostomy stool characteristics
- watery to thick and pasty (oatmeal, pudding consistency)
- irritating to skin
colostomy indications
- rectal cancer (low lying) PERMANENT COLOSTOMY
- diverticular disease
- obstruction
- congenital anomalies
- trauma
colon functions
- absorption
- stores stool
- neutralizes enzymes
colostomy stool characteristics
- pasty to formed, depending on location along colon
- possible option of irrigation as means of management
- non-irritating!
urostomy indications
- bladder cancer (smokers!!!!)
- upper tract deterioration
- incontinence
- neurogenic bladder
- chronic interstitial cystitis
- congenital anomalies
- trauma
genitourinary system functions
- forms urine
- electrolyte balance
- acid-base balance
- BP regulation
- produces erythropoietin
urostomy urine characteristics
- normal to have mucous
- non-irritating
peristomal skin care
- cleanse with water
- DRY WELL
- avoid soaps with lotion, moisturizer, deodorant
- do NOT use alcohol or peroxide to clean skin
- cut wafer/pouch no more than 1/8” to 1/16” larger than stoma to achieve good seal
enterocutaneous fistula
incision that spontaneously opened up and must be treated like fistula
inflammatory bowel disease (types x2)
- ulcerative colitis
- Crohn’s Disease
ileostomy diet recommendations
- low fiber diet 4-6 weeks post-op
- drink, drink, drink! (2-3 quarts/day)
ileostomy pouch change
q 3-5 days
ostomy nota bene
- can’t control what comes out (no sphincter)
colostomy pouch change
q 5-7 days
urostomy (what is it?)
aka ileal conduit
- 4 to 6 inches of small intestine
- stent from kidney down to ostomy (protect anastomosis)
urostomy pouch change
q 3-4 days
ostomy
Surgical procedure in which an opening is made into the abdominal wall to allow the passage of intestinal contents from the bowel or urine from the bladder.
