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14 Cards in this Set
- Front
- Back
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What is used as a barrier to protect skin from proteolytic enzymes and bile salts, among other things, in ostomy?
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pectin-based skin barrier...also use skin care products such as sealants and creams
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How often should a pouch be emptied?
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one third to one half full
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What is the best time to change the pouch?
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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
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What type of foods may need to be eliminated if causing severe diarrhea, constipation, or blockage?
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high-fiber
high-cellulose Examples: popcorn peanuts coconut Chinese vegetables string beans tough-fiber meats shrimp lobster rice bran skinned vegetables (tomatoes, corn, peas) |
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What type of medications should be avoided?
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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) |
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What should the patient do if there is stomal swelling, abdominal cramping, or distention, of if ileostomy contents stop draining?
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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) |
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What leads to skin irritation and excoriation (linear and/or scaly scratches) with ileostomies?
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proteolytic enzymes
bile salt |
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Skin irritation needs to be prevented. Do this by use of?
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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! |
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If appropriate, be sure to measure the effluent (drainage) from ostomy.
okay |
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
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What vitamin may be necessary following ileostomy and why?
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vitamin B12 injections due to inability of ileum to absorb nutrients
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Line out local medical supply companies or local pharmacies that carry fistula equipment, prices, availability.
okay |
okay
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What is the name of the support group that can be contacted for those with fistulas?
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United Ostomy Association
(also a local hospital can help as well) |
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Refer to chapter 60 for colostomy care
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okay
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