GoConqr has a new look! Let us know what you think.

Sign up free

Flashcards

Ostomy ch 18 GI exam 2

Maggie Pinkien GI system NCLEX English 43 cards

Cards in this deck (43)

  1. 1Ostomyartificial opening into a body cavity
    -urinary or fecal diversions
  2. 2StomaSite of opening on the skin
  3. 3Gastrostomyan opening through the abdominal wall into the stomach that is used for long-term tube feedings
  4. 4Duodenostomies and jejunostomiesOpenings through which tubes are also placed for feeding or drainage
  5. 5Ileostomies and colostomiesdrain fecal matter from intestines
  6. 6Ureterostomy, ileal or colonic conduit, vesicostomy, and continent internal reservoir.Stomas in the urinary tract. Drain urine from kidney, ureters, or bladder
  7. 7ostomateperson who has an ostomy
    -prefer to be individuals with ostomies
  8. 8where should an ostomy site not be? Why?near umbilicus, bony prominences, scars, folds, or creases. So it can have a good seal.
  9. 9What muscle should the stoma be placed to help prevent peristomal hernias?rectus muscle
  10. 10End stomaconstructed from proximal end of resected portion of bowel.
  11. 11Hartmann pouchDistal bowel that removed or closed and left in place
  12. 12Reanastomosisprocedure when ends of the bowel are reconnected
  13. 13Double barrel stomaTwo stomas that are not attached. Upper stoma (proximal) continuous with upper intestinal tact and drains fecal matter. Distal stoma nonfunctional. Usually temporary.
  14. 14Mucus fistulaDistal stoma that is nonfunctional.
  15. 15Loop stomaBring a loop of bowel to abdominal surface and opening it to drain fecal matter. Has two openings. Usually temporary. can be palliative.
  16. 16Before fecal diversion, what type of diet?Low fiber for several days.
  17. 17How is the intestines cleared before surgery to create opening in bowel and why?Antibiotics that pass through intestinal tract to reduce bacterial flora. Cathartics and laxatives to empty tract. To lower risk of bacterial contamination of abdominal cavity when bowel is opened surgically.
  18. 18IleostomyOpening in the ileum. When colon must be bypassed or removed
  19. 19Conditions that require colon bypassCongenital defects, cancer, inflammatory bowel disease, bowel trauma, and familial conditions like multiple polyposis.
  20. 20Multiple polyposismany polyps in colon that often become cancerous.
  21. 21Stool output of ileostomy initially and later.as high as 2000 mL. Small bowel gradually adapts and output decreases and thickens over time.
  22. 22Knock pouchcreates reservoir for liquid stool stool so it can be drained from stoma at intervals with tube.
  23. 23Barnett continent intestinal reservoirmodification of knock
  24. 24Ileal pouch anal anastomosis (IPAA)creates new rectum from terminal ileum. Loop ileostomy used several month until ileo anal reservoir has healed.
  25. 25What happens if ileostomy patients are given timed-release or enteric-coated tablets?They may be eliminated before they dissolve or are absorbed.
  26. 26Healthy stoma colors and unhealthy:-New: beefy red
    -healed: rose red, a bit darker than oral mucosa
    -Impaired circulation: very pale, bluish, black. Report immediately
  27. 27How long until initial swelling stomas shrinks6-8 weeks
  28. 28If edema of stoma occurs later:properly caused by pressure created by improperly fitting collection appliance.
  29. 29what are some neuromuscular symptoms and what do they indicatetrembling, twitching, cramping
    -electrolyte imbalances.
  30. 30how often to remove ostomy poush for thorough cleansing of the skin surrounding stomaevery 3-7 days
  31. 31What to apply to skin when replacing ostomy pouch?1. skin sealants to protect skin (gels, wipes, sprays, liquids, roll-ons)
    2. ostomy powder (dust away excess) then special coating material or hydrocolloid dressing if skin around stoma is broken
    3. products that improve seal (powders, pastes, wafers, rings, strips)
  32. 32how big should the opening around the stoma be?no more than 1/8th inch
  33. 33Uneven skin surface - use what to make a seal around a stoma?caulking material like barrier strips or rings
  34. 34How long after ostomy surgery until no restriction on heavy lifting and strenuous activitiesabout 3 months
  35. 35How big is interior diameter (lumen) of ileostomyless than 1 inch
  36. 36what diet at first with new ileostomy and then added gradually?Low-fiber
    can cause obstruction
  37. 37continent ileostomy who qualifies who usually doesn'tinternal pouch made from loop of ileum to store fecal matter. No pouch, no continuous drainage.
    -They must be able to drain pouch with catheter. Ileum must be sufficient to create valve.
    -ulcerative colitis - usually candidates
    -usually not Crohn's disease.
  38. 38signs of obstruction of continent ileostomy catheterabsence of drainage or feeling of fullness
  39. 39Drainage of continent ileostomy catheter at first then laterbloody at first then brownish
  40. 40How is continent ileostomy pouch kept empty at first to heal?a temporary catheter is connected to low intermittent suction to prevent stress on suture lines.
  41. 41How long is temp continent ileostomy catheter kept? when can patient be taken off NPO?2-3 weeks
    -first only IV fluids, then sips of water until gas and liquid stool pass through catheter.
  42. 42-how much can continent ileostomy hold at first? Later? -how often to drain at first? later? -What is done at night?-70-100 mL; 500 mL
    -Q 2 hrs; 2-4 X a day
    -gravity drainage
  43. 43-position for draining continent ileostomy: -Supplies/ Cath size -How long is drainage and volume? -if catheter becomes blocked:-sit or lie down
    -lubricant, 28-32 Fr, drape, basin, irrigating syringe/solution, gauze dressing
    -10 min, 50-200 mL
    -instill 30 mL normal saline or tap water

Information

Description
NCLEX GI system Flashcards on Ostomy ch 18 GI exam 2, created by Maggie Pinkien on 13/10/2024.
Created by
Maggie Pinkien
Views
0
Rating

More on Bowel and Rectal Disorders

Feedback

What is it about?

What do you think of the new look?

How do you like it?