lab 5 Flashcards
temporary cessation of intestinal movement caused by direct handling of intestines during surgery
paralytic ileus
a mass or collection of hardened, putty like feces in the folds of the rectum
fecal impaction
left-side lying position
sims position
an opening on the intestinal wall made to allow passage of urine or feces
ostomy
the piece of intestines brought out onto the clients abdomen
stoma
a stoma made from the large intestines or colon
colostomy
urine or feces discharged through a stoma
effluent
a stoma made from the sm intestine
ileostomy
presence of excessive flatus in the intestines and leads to stretching and inflation of the intestines
flatulence
a test for occult blood
guaiac test
air or gas in the GI tract
flatus
a form of stoma management similar to am enema, used only for pts who have sigmoid or descending colostomy
colostomy irrigation
passage of feces from the digestive tract through the rectum
defecation
the passage of liquid feces and an increased frequency of defecation
diarrhea
difficult defecation, the passage of dry, hard fecal matter, fewer than 3 bowel movements per week
constipation
the instillation of fluid into the rectum to stimulate peristalsis and remove feces or flatus from the colon
enema
a rectal pouch placed around the anal area to collect large volumes of feces
fecal incontinence pouch
excessive amount of fat in the stool
steatorrhea
what are the characteristics of a healthy stoma?
stoma color
stoma size and shape
status of peristomal skin
amount and type of feces
symptoms
what should the stoma color be?
The stoma should appear red, similar in color to the
mucosal lining of the inner - cheek. Very pale or darker colored
stomas with a bluish or purplish hue indicate impaired blood
circulation to the area
what should the stoma size and shape be>
Most stomas protrude slightly from
the abdomen. New stomas normally appear swollen but
swelling generally decreases over to two to three weeks or
for as long as six weeks. Failure of swelling to recede may
indicate a problem, such as blockage.
Stomal bleeding: Slight bleeding initially when the stoma
is touched is normal, but other bleeding should be
reported
what should the status of the peristomal skin be?
Any redness and irritation of the
peristomal skin- the 5 to 12.5 cm of skin surrounding the
stoma- should be noted. Transient redness after the removal
of adhesive is normal
what should the amount and type of feces be?
For illleal effluent and feces
(Colostomy effluent), assess the amount, color, odor and
consistency. Inspect for abnormalities, such as pus or blood.
For a urinary diversion, assess the amount, color, clarity, and
odor of the urine.
what are the bad symptoms of a stoma?
Statements of burning sensation under the flange may
indicate skin breakdown. The Presence of abdominal discomfort or
distention also needs to be determined, in addition the presence of
bowel sounds
what is the output of a ileostomy?
liquid to mushy
what is the output of a ascending colostomy?
liquid to mushy with foul odor
what is the output of a right transverse colostomy?
mushy to semi formed
what is the output of a left transverse colostomy?
semi formed to soft
what is the output of a descending sigmoid colostomy?
soft to hard formed
how often should a ostomy pouch be changed?
when they are 1/3 to 1/2 full
