Ostomy Care and Management Flashcards

1
Q

Why do we irrigate a colostomy?

A

Allows client to schedule when they have bowel movements

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2
Q

What is an ostomy?

A

A surgically artificial excretory opening

Named relative to their anatomical location in the bowel

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3
Q

How are bowel ostomies classified?

A

According to their status as permanent or temporary

Anatomical location the name of the construction of the stoma

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4
Q

Temporary or permanent colostomies?

A

Temporary:
-generally performed for traumatic injuries or inflammatory conditions of the bowel

Permanent:
-performed to provide a means of elimination when the rectum or anus is nonfunctional as a result of a birth defect or a disease

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5
Q

Ileostomy?

A

Generally empties from distal end of small intestine

Produces liquid decal drainage
-contains digestive enzymes, less odour because fewer bacteria are present

Unregulated

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6
Q

Ascending colostomy?

A

Decal drainage is liquid

  • contains digestive enzymes
  • odour is a problem

Unregulated

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7
Q

Transverse colostomy?

A

Produces malodorous, mushy drainage because some liquid has been absorbed

Unregulated

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8
Q

Descending colostomy?

A

Solid fecal drainage m

Stool from sigmoidostomy is of normal or firmed consistency

Frequency of discharge can be regulated and odours can be controlled

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9
Q

What is within the LPN scope around colostomys?

A

LPNs can irrigate them

Change the collecting bag and clean them

Assessments

LPNs must have competence around doing the skill

Never put anything into a stoma

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10
Q

What are some illness/conditions which would indicate creator of a colostomy?

A
Crohns
Colon cancer
Ulcerative colitis 
Bowel obstruction 
Trauma 
Genetic condition
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11
Q

What type of ostomy does patients with crohns and ulcerative colitis have?

A

Crohns: colostomy or ileostomy

Ulcerative colitis: ileostomy

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12
Q

Characteristics of healthy newly established stoma?

A
Red in color
Swelling/edema up to 6 weeks 
Mild/moderate bleeding in stoma and mucosa junction 
Warm 
May not be active 
Pain
Peri-stomal skin intact
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13
Q

What to report about newly formed stoma?

A

Excessive bleeding
Pale or blue in color
Increased amount of pain

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14
Q

Focused assessments for post op client with newly formed ostomy?!

A
ABCs
Pain/sedation
Abdominal assessment 
Incisions/drains 
Assessment of stoma 
I&O 
Signs of infection/thrombus
Safety 
Neurological 
Fecal assessment
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15
Q

Possible complications of GI surgery?

A
PE
Paralytic ileus
Bleeding
Invertion of stoma 
Protrusion of stoma 
Peritonitis 
Pain
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16
Q

Scope around ostomies?

A

Changing dressings/collecting bag