Exam (elaborations)
WEB WOC OSTOMY CARE QUESTIONS AND ANSWERS 2024
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WEB WOC OSTOMY CARE QUESTIONS AND ANSWERS 2024
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WEB WOC OSTOMY CAREWhy might a patient with a urinary diversion be at risk for receiving antibiotics
inappropriately? - ANSWERS-Patients with incontinent bowel diversion have
chronic bacteriuria and will have positive urine cultures = multiple rounds of
antibiotic treatment and multi drug resistant organisms. Antibiotic treatment
should only be started with patients who have other clinical signs of active
infection.
ideal stoma characteristics - ANSWERS-*height/protrusion
*round
*red
*moist
*painless
*may bleed easily
*lumen at the center of stoma
jejunostomy location - ANSWERS-LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - ANSWERS-ischemic bowel, crohn's, trauma,
necrotizing enterocolitis
,diversion of small bowel at jejunum, with or without colectomy, with or without
small bowel resection, loop or end stoma
jejunostomy function and management - ANSWERS-*function begins in 24-48
hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - ANSWERS-*monitor for electrolyte imbalances and
dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - ANSWERS-RUQ
ileostomy disease and procedure - ANSWERS-crohn's, ulcerative colitis, familial
adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic bowel
total proctocolectomy with end ileostomy, total proctocolectomy with continent
ileostomy, temporary ileostomy, temporary loop ileostomy for ileal pouch-anal
anastomosis
ileostomy function and management - ANSWERS-*function begins in 24-48 hours
, *initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
ileostomy complications - ANSWERS-*high risk for bowel obstruction-instruct pt
to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - ANSWERS-RUQ or LUQ
transverse colostomy disease and procedure - ANSWERS-diverticulitis, colon
cancer, crohn's, perforated bowel, congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or without colectomy,
usually temporary loop stoma
transverse colostomy function and management - ANSWERS-*function begins
within 48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
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