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30 Cards in this Set
- Front
- Back
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What is Ostomy?
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OSTOMY REFERS TO AN OPENING BETWEEN AN INTERNAL BODY STRUCTURE AND THE SKIN.
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Ileostomy:
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AN OPENING FROM THE DISTAL SMALL INTESTINE
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Fecal material exits through a ....?
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STOMA
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why are most ostomies created?
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OSTOMIES ARE CREATED IN RESPONSE TO AN INFLAMMATORY BOWEL DISORDER THAT FAILS TO RESPOND TO MEDICAL TREATMENT OR COMPLICATIONS.
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Name four inflammatory bowel disrders that could require an ostomy.
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1. RUPTURE OF A PORTION OF INTESTINE
2. IRREVERSIBLE OBSTRUCTION 3. COMPROMISED BLOOD SUPPLY TO THE INTESTINE 4. CANCEROUS TUMOR |
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Is an ostomey pemanent?
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NOT ALWAYS IT CAN BE TEMPORARY
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Clients with an Ostomy, whether it is permament or temporary need individual plans of care that include what three things?
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1. SURGICAL PREPERATION
2. RECOVERY 3. TEACHING FOR SELF-CARE |
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For a conventional ileostomy, the (1)_____and (2)_____are removed.
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1. ENTIRE COLON
2. RECTUM |
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The terminal end of the (1)___is brought through the right lower quadrant of the (2)____slightly below the(3)_____,near the outer border of the(4)_____muscle.
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1. ILEUM
2. ABDOMEN 3. UMBILICUS 4. RECTUS |
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The cut end is (1)____ and (2)____ to the skin,which creates a stoma.
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1. EVERTED
2. SUTURED |
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What is the difference between and ileostomy and colostomy.
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THE ILEOSTOMY IS AN OPENING FROM THE DISTAL SMALL INTESTINE AND THE COLOSTOMY IS AN OPENING FROM THE COLON.
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When an ileostomy is done, the stoma continualy releases (1)___ and (2)____.
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1. STOOL
2. GAS |
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Fecal material discarged from an ileostomy is (1)_____ or (2)_____and contains (3)_____.
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1. LIQUID
2. MUSHY 3. DIGESTIVE ENZYMES |
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What is an ostomy appliance?
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IT IS THE COLLECTION DEVICE WORN OVER A STOMA.
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The stoma promotes healing and provides a smooth peristomal area that permits (1)_____ _____ _____ of an appliance.
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1. IMMEDIATE POSTOPERATIVE APPLICATION
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true or false
Clients with ostomy always wear an appliance that requires frequent emptying. |
TRUE
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Ostomate
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CLIENT WITH AN OSTOMY
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ostomy devices consist of (1)___(2)or ____ devices with a pouch for collecting (3) ____ and a (4)_____ or(5)____attached to the abdomen with an opening through whch the stoma protrudes.
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1. ONE-PEICE
2. TWO-PEICE 3. FECES 4. FACEPLATE 5. OR DISC |
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The faceplate adheres to skin with self-adhesive backing or another bonding substances such as...
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adhesive powder,paste, or wafer.
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(1)______gum is a common component in ostomy supplies.
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Karaya
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Decribe Karaya gum and how it is benifical to the client.
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KARYA GUM IS GELATOUS WHEN IN CONTACT WITH MOISTURE. PROTECTS SKIN. IT IS USED AROUND THE STOMA. FITS SNUGGLY WITHOUT CAUSING INJURY (UNLIKE THE RIGID MATERIALS) CORRECTING AN ILL FITTING STOMA.
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Is a temporary or disposable appliance prefered over a permenent one in the immediate postoperative phase?
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YES, BECAUSE THE SIZE OF THE STOMA CHANGES OVER TIME AS A RESULT OF SWELLING FROM THE PROCEDURE.
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The size of the (1)____ may chage(2)______and differ from one appliance change to the next.
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1. STOMA
2. RAPIDLY |
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what does reusable equipment consist of?
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A STURDIER POUCH
A CUSTOM-SIZED FACEPLATE AND "O" RING. |
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True or False:
The pouch is designed to clip into positon when attached over the ring. |
FALSE
IT IS DESIGNED TO FASTEN WHEN PRESSED ON MUCH LIKE THE LID OF A MARGERINE CONTAINER. |
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How do you empty the pouch?
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THE POUCH HAS A CLAMP AT THE BOTTOM, WHICH CAN BE RELEASED WHEN THE POUCH NEEDS TO BE EMPTIED.
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Does the pouch hang loosely on the clients side?
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NO, IT MAY BE FASTENDED TO A BELT FOR MORE SECURITY.
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what method is used to cleanse the bowel before surgery?
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DIETARY RESTRICTIONS IN COMBINATION WITH LAXATIVE OR LAVAGE AGENTS(GoLYTELY,Nulytely,Colyte)DEPENDING ON THE CLIENTS CONDITION(obstrution/no obstution) AND THE SURGEONS PREFERNCE.
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Are antibotics used before surgery?
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OPINONS VARY REGARDING THE NEED FOR ANTIBIOTIC PROPHYLAXIS.
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PREOPERATIVE PERIOD
Most surgeons order a combination of intravenous (IV) antibiotics before surgery and continue administration after surgery. Give an example of the antibiotic: |
PREOPERATIVE PERIOD
THIRD-GENERATION CEPHALOSPORIN AND METRONIDAZOLE |
