Stoma care

Question 1

E/C and MR

Answer 1

Unsuitable
Avoid preparations containing sorbitol - laxative effects

Question 2

PPI

Answer 2

Reduces gastric acid secretion + stoma output

Question 3

Water + electrolyte depletion

Answer 3

Stomas are more vulnerable to water and electrolyte depletion
- Diuretics = excessive dehydration + potassium loss
- Hypokalaemia = increased risk of digoxin toxicity
- Avoid laxatives = increase fluid/fibre or try bulk forming

Question 4

Diarrhoea

Answer 4

High doses or laxatives or codeine

Question 5

GI