Ostomy Flashcards

1
Q

What are the causes for ileostomy?

A

Crohn’s disease, Ulcerative colitis

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2
Q

Which ostomy is for correcting bladder loss or dysfunction?

A

Urostomy

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3
Q

What are the 3 main types of colostomy?

A

Ascending, Transverse, Descending/Sigmoid

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4
Q

What are the causes for colostomy?

A

Colorectal cancer, loss of anal muscle control, diverticulitis, trauma

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5
Q

Drainage from which ostomy contains enzymes that can cause skin irritation?

A

Ileostomy

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6
Q

Ileostomies usually use which type of pouch?

A

Open ended - drainable and requires emptying when half full

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7
Q

What is the preferred anti fungal to treat infections around the stoma?

A

Nystatin powder BID (TID for candida) Apply under appliance, dust off excess and use for 1 week after infection clears

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8
Q

What is the cause of folliculitis?

A

too aggressive removal of appliance

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9
Q

What are some foods that can cause diarrhea?

A

broccoli, beer, green beans, highly seasoned foods, sports drinks with lots of sugars

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10
Q

What foods can thicken stoma output and help with diarrhea?

A

bananas, potatoes, yogurt, cheese, apple sauce

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11
Q

Which ostomy is EC and time released preparation completely ineffective?

A

Ileostomies; partially effective in colostomy

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12
Q

WIth urostomy, ammonia odour may indicate what complication?

A

Crystalline phosphate deposits

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13
Q

Crystalline phosphate deposits can result in

A

stoma fragility, mucosal damage and blood in pouch

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14
Q

How can you treat crystalline phosphate deposits?

A

Dab the stoma with vinegar-water mix or acidify urine with cranberry juice as prophylaxis

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15
Q

What are skin barriers usually composed of?

A

gelatin, pectin, cellulose

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16
Q

What are barrier rings?

A

Alternative to pastes; they protect the skin and fill in uneven areas

17
Q

What are the 4 common problems with ostomies?

A

Leakage leading to peristomal irritations; electrolyte and fluid deficiencies; allergies; drug absorption

18
Q

Name deodorants that can be used to neutralize odours from foods

A

activated charcoal and bismuth subgallate

19
Q

With ileostomies, you have to watch out for poor absorption of which drugs?

A

vitamins A, D, E, K, B12 and OCP