Stoma care

Question 1

what condition does not contraindicate the use of estradiol pessaries

Answer 1

UTERINE fibriods, however if patients have fibiroids they need to be routinely monitered in case they increase in size.

Question 2

What conditions CI the use of estradiol pessaries?

Answer 2

1. history of breast cancer
2. recurrent DVT
3. vaginal bleeding of unknown cause
4. unstable angina

Question 3

patient has Increased stoma output, and irritation around the stoma site, which is believed to be exacerbated by gastric acid , what would be first line to treat?

Answer 3

PPI, lansoperazole : to reduce acid secretion

Question 4

what is a stoma?

Answer 4

A stoma is an artifical opening to the abdomen to divert the flow of faeces or urine in to an external pouch located outside the body

Question 5

What are the 2 common forms of stoma

Answer 5

colostomy and illeostomy

Question 6

what medicinal preps need to be avoided in stoma patients?

Answer 6

m/r
sorbitol
eneteric coating
laxatives

Question 7

What is suitable in terms of preparations, that can be used in stoma care?

Answer 7

soluble tabs
liquids
capsules
uncoated tabs
These are all recommended due to their quicker dissolution time.

Question 8

which analgesics are safe in stoma care?

Answer 8

Paracetamol

Question 9

which analgesics are not safe in stoma care and why?

Answer 9

opiods as can be constipating

Nsaids can cause gastric irritation and bleeding in colostomy patients

Question 10

what other medicine apart from anagesics need to be avoided in stoma care patients?

Answer 10

antacids! As aliminium salts are constipating and Magnesium salts have laxative effects.

Question 11

What antidiarahal drugs can be given in stoma patients?

Answer 11

Loperamide - higher doses may be needed

Codeine - can be added to loperamide

Question 12

what do you need to watch out for in stoma patients on Digoxin?

Answer 12

HYPOKALIEMA!

Potassium supplements and potassium sparing diuretics should be given e.g. spirnolactone , Amiloride

Question 13

Can diuretics be used stoma patients?

Answer 13

yes but use with caution as there is a risk of dehydration and potassium depeletion
It is recomended to use a potassium sparing diuretic

Question 14

what route is preferred to administer iron in stoma care patients?

Answer 14

IM

Question 15

Why should Laxatives be avoided in stoma patients?

Answer 15

Because they can cause severe water loss and electrolyte loss

Question 16

What advice should you give to a constipated stoma patient?

Answer 16

increase fluid and fibre intake
BULK forming and SENNA laxatives can be used
need to give potassium supplements alongside them. daily doses need to be split to avoid osmotic diarrhea.