Stoma Care Flashcards

1
Q

What is a stoma?

A

An artificial opening of the abdomen to divert flow of faeces or urine into an external pouch located outside of the body

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2
Q

Which dosage forms should be avoided in stoma patients and why?

A

EC/MR capsules are not suitable = insufficient release of active ingredient

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3
Q

Which dosage form should be used in stoma patients?

A

Forms with quick action (dissolution and absorption): liquids, capsules, and uncoated or soluble tablets

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4
Q

What advice to offer a patient after the use solid-dose forms?

A

The contents of the stoma bag should be checked for any remnants.

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5
Q

Which medications can cause a diarrhoea effect in stoma patients?

A

Sorbitol
Magnesium antacids
Iron (only in ileostomy patients)

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6
Q

Which medications can cause a constipation effect in stoma patients?

A

Opioids
Calcium antacids
Aluminium hydroxide antacids and iron (concern in colostomy patients)

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7
Q

Which medications can cause GI irritation and bleeding in stoma patients?

A

NSAIDs

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8
Q

What effects do antidiarrhoeal drugs have in stoma patients?

A

Reduce intestinal motility and decrease water and sodium output

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9
Q

In which patients is loperamide’s effect disrupted?

A

Patients with a short bowel as loperamide circulates through the enterohepatic circulation

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10
Q

Effects of diuretics and laxatives in stoma patients. How to manage?

A

Dehydration which can lead to hypokalaemia

Use K-sparing diuretics
Potassium supplements (not usually required)

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