Care of the Ostomy Patient
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| What illeostomy procedure eliminates the need for an external pouch over the stoma? | Continent illeostomy- kocks pouch
🗑
|
||||
| What is a conventional illeostomy? | Illeostomy where the entire colon and rectum has been removed.
🗑
|
||||
| What is a continent illeostomy (Kocks pouch)? | Ileostomy has an internal reservoir created by suturing loops of adjacent ileum together to form a pouch-like structure (called a Kock Pouch). Stool can be suctioned by intermittent insertion of a catheter through the stoma into the reservoir
🗑
|
||||
| What is an Illeoanal reservoir? | anus and anal sphincter left in place while the diseased portion of the bowel is removed. 1st phase the PT has a stoma, 2nd phase healthy bowels are reattached and normal waste function resumes.
🗑
|
||||
| Where is the stoma generally located in an illeostomy? | Lower Right Quadrant
🗑
|
||||
| What is done in a temporary illeostomy? | Diseased portion of bowels is removed and the non-diseased portion is re-anastomosed
🗑
|
||||
| How long after the 1st stage of an ileoanal reservoir is the 2nd stage started? | 2 to 3 months later
🗑
|
||||
| What is a colostomy? | Opening between colon and abdominal wall
🗑
|
||||
| When is a temporary colostomy done? | when the intestine needs time to repair itself following the inflammatory disease, after some types of intestinal surgery or following injury
🗑
|
||||
| When is a permanent colostomy done? | placed when there is a debilitating intestinal disease or cancer requiring removal of the colon and rectum (resection)
🗑
|
||||
| What is the difference between a single barrel colostomy and a double barrel colostomy? | Single barrel has one stome, while double barrel has two.
🗑
|
||||
| Where are double barrel colostomies performed the most? | The double barrel colostomy is performed most often along the transverse section of the large intestine
🗑
|
||||
| What are temporaroy colostomies? | Loop colostomy and double barrel colostomy
🗑
|
||||
| What kind of colostomy is considered a permanent colostomy? | Single barrel
🗑
|
||||
| What is the fecal evacuation of an ileostomy? | material discharged is liquid to semi liquid and contains digestive enzymes. There is no bowel regulation.
🗑
|
||||
| What is the fecal evacuation of an ascending colostomy? | fecal material is liquid to semi liquid requiring frequent emptying to keep the patient dry and to control odor
🗑
|
||||
| What is the fecal evacuation of a transverse colostomy? | fecal material is semi formed. This location of the stoma is more manageable when irrigated daily to reduce the number of bowel movements and to help eliminate odor.
🗑
|
||||
| What is the fecal evacuation of a descending colostomy? | semi-formed to formed
🗑
|
||||
| What is the fecal evacuation of a sigmoid colostomy? | fecal material is formed. Stool that is semi-solid is more manageable than a liquid stool. A scheduled daily irrigation can establish regularity and help the patient achieve control.
🗑
|
||||
| in post-op care of PT who received a stoma, what is the focus? | protecting the skin, appliance selection and psychological needs
🗑
|
||||
| What should the color of a normal stoma be? | Pink or red
🗑
|
||||
| What do you use to clean a stoma? What dont you use? | Use soap and water. Dont use alchohol.
🗑
|
||||
| What can be done if the stoma is obstructed? | Dilating the stoma
🗑
|
||||
| What deodorizes feces? | Chlorophyll
🗑
|
||||
| What should not be done to an ostomy patients fluid regime | Do NOT restrict fluids.
🗑
|
||||
| What type of medications should an ostomy PT avoid? | Enteric coated medications
🗑
|
||||
| What determines the content of an ostomy PTs feces? | The location of the ostomy
🗑
|
||||
| What does a dusky blue stoma indicate? | Ischemia
🗑
|
||||
| What does a brown-black stoma indicate? | Necrosis
🗑
|
||||
| What is a normal finding after cleaning of a stoma? | Slight bleeding (Caring of the PT with an illeostomy/colostomy slide 50)
🗑
|
||||
| How long after surgery will the swelling of the stoma last? | 2 - 3 weeks
🗑
|
||||
| What should be applied to the stoma after each cleansing? | A skin barrier
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Shanejqb
Popular Nursing sets