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14 Cards in this Set

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What is used as a barrier to protect skin from proteolytic enzymes and bile salts, among other things, in ostomy?
pectin-based skin barrier...also use skin care products such as sealants and creams
How often should a pouch be emptied?
one third to one half full
What is the best time to change the pouch?
inactive times, before meals, before retiring at night, waking in morning, 2 to 4 hours after eating...and change the pouch every 3 to 7 days
What type of foods may need to be eliminated if causing severe diarrhea, constipation, or blockage?
high-fiber
high-cellulose

Examples:
popcorn
peanuts
coconut
Chinese vegetables
string beans
tough-fiber meats
shrimp
lobster
rice
bran
skinned vegetables (tomatoes,
corn, peas)
What type of medications should be avoided?
enteric-coated and capsule
medications
laxatives and enemas...
patient should already be
having loose stools
(contact doctor if no stool
has passed in 6 to 12 hrs)
What should the patient do if there is stomal swelling, abdominal cramping, or distention, of if ileostomy contents stop draining?
remove pouch with faceplate
lie down, assume knee-chest
position
begin abdominal massage
apply moist towels to
abdomen
drink hot tea
(if none of this works, call
HCP right away)
What leads to skin irritation and excoriation (linear and/or scaly scratches) with ileostomies?
proteolytic enzymes
bile salt
Skin irritation needs to be prevented. Do this by use of?
skin barriers
ex: DuoDerm
Stomahesive
application of pouches
drain insertion
using normal saline to
cleanse the fistula, then
pat it dry

DO NOT EVER let ostomy drainage come in contact with skin without immediately cleaning it as it is highly caustic!
If appropriate, be sure to measure the effluent (drainage) from ostomy.

okay
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There are many types of fistulas which are abnormal. However, the ostomy is considered a fistula as well because it is an abnormal tract in the body.

okay
okay
What vitamin may be necessary following ileostomy and why?
vitamin B12 injections due to inability of ileum to absorb nutrients
Line out local medical supply companies or local pharmacies that carry fistula equipment, prices, availability.

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What is the name of the support group that can be contacted for those with fistulas?
United Ostomy Association

(also a local hospital can help as well)
Refer to chapter 60 for colostomy care
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