4 Ostomies Flashcards
1
Q
stoma
A
Artificially created opening between a body cavity and the surface of the body.
Two types: end & loop.
2
Q
ileostomy indications
A
- inflammatory bowel disease
- familial polyposis
- diversion for distal anastomosis
- congenital anomalies
- trauma
3
Q
small intestine functions
A
- digestion
- absorption
- receptor sites
4
Q
ileostomy stool characteristics
A
- watery to thick and pasty (oatmeal, pudding consistency)
- irritating to skin
5
Q
colostomy indications
A
- rectal cancer (low lying) PERMANENT COLOSTOMY
- diverticular disease
- obstruction
- congenital anomalies
- trauma
6
Q
colon functions
A
- absorption
- stores stool
- neutralizes enzymes
7
Q
colostomy stool characteristics
A
- pasty to formed, depending on location along colon
- possible option of irrigation as means of management
- non-irritating!
8
Q
urostomy indications
A
- bladder cancer (smokers!!!!)
- upper tract deterioration
- incontinence
- neurogenic bladder
- chronic interstitial cystitis
- congenital anomalies
- trauma
9
Q
genitourinary system functions
A
- forms urine
- electrolyte balance
- acid-base balance
- BP regulation
- produces erythropoietin
10
Q
urostomy urine characteristics
A
- normal to have mucous
- non-irritating
11
Q
peristomal skin care
A
- 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
12
Q
enterocutaneous fistula
A
incision that spontaneously opened up and must be treated like fistula
13
Q
inflammatory bowel disease (types x2)
A
- ulcerative colitis
- Crohn’s Disease
14
Q
ileostomy diet recommendations
A
- low fiber diet 4-6 weeks post-op
- drink, drink, drink! (2-3 quarts/day)
15
Q
ileostomy pouch change
A
q 3-5 days
