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31 Cards in this Set
- Front
- Back
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How can you differentiate between a gastric and peptic ulcer? |
Gastric = pain not relieved with food Peptic = pain relieved with food |
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What is a colostomy/ileostomy? |
Surgical opening created on the surface of the stomach to allow stool to exit the body instead of the rectum |
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What is a stoma? |
Sits on the surface of the stomach |
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What colour should a stoma be? |
Red/pink, shiny and moist |
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What is an illeostomy? |
Surgical opening that brings the SMALL INTESTINE (illeum) to the surface of the abdomen |
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What is a colostomy? |
Surgical opening that brings the LARGE INTESTINE (colon) to the surface of the abdomen |
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What are the different locations for colostomies? Remember “DATS” a colostomy |
Descending = left upper quadrant Ascending = right upper quadrant Transverse = mid-abdominal Sigmoid = left lower quadrant |
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What is a double barrel colostomy? |
Creation of 2 x stomas |
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What is a double barrel colostomy? |
Creation of 2 x stomas |
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What is the proximal stoma in a double barrel colostomy used for? |
Drains stool |
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Where is a illeostomy located? |
Right lower quadrant |
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What is involved in the pre-op care? |
- Education - oral antibiotics (decrease bacteria in colon and decrease risk of post-op infection) - diet |
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What is involved in the pre-op care? |
- Education - oral antibiotics (decrease bacteria in colon and decrease risk of post-op infection) - diet |
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What diet does a patient have to be on prior to a colostomy? |
- semi liquid diet 2/3 days before surgery - clear liquid diet 24 hours prior to surgery then NBM |
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What is involved in the post op care of patient with a colostomy/illeostomy? |
- monitor electrolytes and signs of dehydration - monitor stoma |
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What is involved in the post op care of patient with a colostomy/illeostomy? |
- monitor electrolytes and signs of dehydration - monitor stoma |
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What should the stoma look like post op? |
- large and swollen immediately post op (shrinks down to normal size within a few months) - pink or red - moist and shiny |
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What is involved in the post op care of patient with a colostomy/illeostomy? |
- monitor electrolytes and signs of dehydration - monitor stoma |
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What should the stoma look like post op? |
- large and swollen immediately post op (shrinks down to normal size within a few months) - pink or red - moist and shiny |
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What does an abnormal stoma look like? |
- black or brick red (indicates compromised circulation) - light pink (decreased haemoglobin/hemocrit level) |
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What is involved in the post op care of patient with a colostomy/illeostomy? |
- monitor electrolytes and signs of dehydration - monitor stoma |
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What should the stoma look like post op? |
- large and swollen immediately post op (shrinks down to normal size within a few months) - pink or red - moist and shiny |
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What does an abnormal stoma look like? |
- black or brick red (indicates compromised circulation) - light pink (decreased haemoglobin/hemocrit level) |
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What should the stool of a colostomy look like? |
Ascending = liquid Transverse = loose/semi formed Descending/sigmoid = similar to normal consistency |
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What is involved in the post op care of patient with a colostomy/illeostomy? |
- monitor electrolytes and signs of dehydration - monitor stoma |
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What should the stoma look like post op? |
- large and swollen immediately post op (shrinks down to normal size within a few months) - pink or red - moist and shiny - illeostomy = drain dark green stool (turns yellow when patient starts to eat) - colostomy = mucus (won’t produce anything until day 2 post op) |
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What does an abnormal stoma look like? |
- black or brick red (indicates compromised circulation) - light pink (decreased haemoglobin/hemocrit level) |
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What should the stool of a colostomy look like? |
Ascending = liquid Transverse = loose/semi formed Descending/sigmoid = similar to normal consistency |
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What should the stool of an illeostomy look like? |
- Liquid (rich in electrolytes and water) - increased risk of dehydration due to loss of electrolyte and water - increased risk of infection due to stool being rich in enzymes and electrolytes |
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Explain how to use the stoma bag? |
- Empty when 1/3 to 1/2 full - change every 3-5 days - morning is when best to change |
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What medications should you not give to patients with ileostomy? |
Enteric coated and sustained release |
