Exam (elaborations)
WEB WOC OSTOMY CARE QUESTIONS AND ANSWERS 2024
- Course
- Institution
WEB WOC OSTOMY CARE QUESTIONS AND ANSWERS 2024
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Teacher101. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now