week 10 disorders

Question 1

what are colonsomoty and illiosomies?

Answer 1

colonosotomy - diversion of the large bwoel/colom
illiostomy- dicersion of small bowl or illium

Question 2

what may require a colonostomy/illiostomy?

Answer 2

bowel obstruction
trauma (burns)
ischemic bowel
perforated bowel
infection
inflamatory bowel disease
diverticulities
colorectal/anal cancer
congential birth defects
post septic shock

Question 3

what may be an indication for an ileal conduit

Answer 3

bladder cancer and cystectomy
traumatic bladder ingury
sevre urinary incontence
neurotic bladder threatening kidney functions

Question 4

what may be an indication for an feacal diversion system?

Answer 4

burns
sacral pressure injuries
infective diarrhoea

Question 5

what is chronhs disease?

Answer 5

subacute and chronic transmural inflamation - occurs from anywhere mouth to anous - most common inn terminal ilium

perianal breakdwon is common complication - fistulas, abseses and stenosis

Question 6

what is ulcerative colitis?

Answer 6

recurrecnt alcerative and inflamatory diseas of mucosa and sub mucosal layers
begins in rectum and spreads prximally to entire colon

Question 7

what is colorectal cancer?

Answer 7

tumors of the colon and rectum
spreading of cancer to the peritoneum, liver and lungs

Question 8

what are the gastrounirany stomas?

Answer 8

colostomy
iliostomy
ileal conduit/urosotmy

Question 9

what are the different features of an ileostomy, colostomy and urostomy/ileal conduct?

Answer 9

urostomy/ilial conduct - flatter appearance, round shape, right hand side and urine output

colonotomy shorter lenth, round shape, left hand side and soft output

iliostomy - longer lenth, cone-shaped, righ hand side and liquid output

Question 10

what is a feaocl diverson system?

Answer 10

inserted into rectum and then inflated and allows contents to bypass the anus

Question 11

what are some stoma complications?

Answer 11

leaking around appliance
food bolus blookage -illiostomy
mucoctaneous seperation
necrosis
prolapse
stoma retraction
cellulitis
gastrointestinitis

Question 12

how should you assess a stoma?

Answer 12

ask normal appearance and function
determin if pt attmepeted self respolution
listen in 4 quadrents for bowel sounds
asess stoma for colour, warmth, activity, mucus and odor and peri-stomal skin activity
stomas are insentiate-no pain
contact stomal therapy nurse