Stoma Care Flashcards
What is meant by a stoma
Artificial opening on the abdomen to divert flows of faeces or urine into an external pouch located outside of the body
What kind of drugs is used in stoma care
Enteric coated or modified release is no suitable as there is insufficient effect from the drug
- use forms of quick action: liquids, capsules and uncharted or soluble tablets
What are the side effects of using a stoma and what drugs causes it
Diarrhoea : sorbitol, magnesium antacids, iron (ileostomy)
Constipation: opioids, calcium antacids, iron ( colostomy)
GI irritation + bleed: aspirin and NSAIDS
What effect does diuretics have on someone who has a stoma bag
Diuretics/ laxatives: dehydration - hypokalemia - use potassium sparing diuretics or potassium supplements
- liquid forms potassium preferred to modified release forms
- fluid and NA depletion - hypokalaemia- increased risk of digoxin toxicity