diversion of small bowel at jejunum, with or without colectomy, with or without small bowel
resection, loop or end stoma
jejunostomy function and management - answer✔*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 - answer✔*monitor for electrolyte imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
total proctocolectomy with end ileostomy, total proctocolectomy with continent ileostomy,
temporary ileostomy, temporary loop ileostomy for ileal pouch-anal anastomosis
ileostomy function and management - answer✔*function begins in 24-48 hours
*initially gas, then liquid output for several days, then becomes mushy
ALL RIGHTS RESERVED.
*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 - answer✔*high risk for bowel obstruction-instruct pt to chew food
thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
diversion of large bowel at the transverse colon, with or without colectomy, usually temporary
loop stoma
transverse colostomy function and management - answer✔*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
transverse colostomy complications - answer✔*waistline location can be difficult to manage
permanent end colostomy with rectum and anus removed, temporary or permanent end
colostomy with Hartmann's pouch (sewing shut top of rectum with ability to reconnect to GI
tract later)
descending colostomy function and management - answer✔*function may not begin for up to
5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
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