OSTOMY CARE UPDATED END OF COURSE QUESTIONS
AND SOLUTIONS GUARANTEE A+
✔✔What ostomy is most often used in emergency cases? - ✔✔Cecostomy
✔✔When are incontinent urinary devices required? - ✔✔Required when removal or
bypass of the bladder is necessary
✔✔What is an incontinent urinary device secondary to? - ✔✔Secondary to bladder
cancer; secondary to a fistula or neurogenic bladder
✔✔Ilieal Conduit: Bricker Pouch - ✔✔Gold standard for treatment of patients with
invasive bladder cancer; short segment of the bowel is taken to be fashioned into a
conduit for urine (bladder); ureters are anastomosed to ileal segment; distal segment is
brough through abdominal wall; a drainable ostomy appliance is placed over stoma
(requires pouch to collect urine)
✔✔What urinary diversion devises are catheterizable? - ✔✔Kock Pouch, Indiana Pouch
✔✔Illeovesicostomy - ✔✔Harvest a bowel segment and surgically connect it to the skin;
dependent drainage of urine into ostomy bag; stoma on skin; "chimney;" commonly
done for prostate cancer
✔✔Nephrostomy Tube - ✔✔Urinary diversion placed in the kidneys (STERILE);
✔✔Suprapubic Tube - ✔✔Urinary diversion placed in bladder (tube drains urine
secondary to incontinence, urinary retention)
✔✔End Stomas - ✔✔Bowel is completely separated; proximal and end portion of
bowels
✔✔In an end stoma, where is the proximal portion brought? - ✔✔The proximal portion is
brought through the skin
✔✔In an end stoma, where is the end of the bowel brought? - ✔✔The end of the bowel
is everted and sutured to the skin
✔✔Mucous Fistula - ✔✔Both the function and non-functioning end of the intestine may
be brought through the abdominal wall; the patient has a functioning stoma and a
mucous fistula (double barrel stoma)
✔✔Loop Colostomy - ✔✔Represents a segment of the colon that is incompletely
divided but surgically opened on one side only (can have 2 openings); brought through
abdominal wall and secured to skin with a stoma rod beneath the loop;
, ✔✔How long is a loop colostomy in place? - ✔✔Left for 7-10 days
✔✔When observing the stoma, what color is normal? - ✔✔The stoma should be moist,
beefy red in color (no paler than mucous membranes)
✔✔When observing the stoma, what color is abnormal? - ✔✔If the stoma is a pale,
dusky blue/gray/black, there is a problem
✔✔What is the normal shape and protrusion of a stoma? - ✔✔The stoma should be
round or oval and protrude about 1-3 cm from the abdomen
✔✔Where should the lumen of a stoma be located? - ✔✔The lumen should be located
in the center of the stoma
✔✔Mucocutaneous Junction (New stoma) - ✔✔Assess where stoma is sutured to skin
(protrusion)
✔✔Where should you measure a stoma? - ✔✔Should be measured around
mucocutaneous junction
✔✔What size appliance should be used with an ostomy/stoma? - ✔✔Find the smallest
size appliance that fits the stoma without allowing for more than 1/8" of skin exposure
✔✔When is it normal for a stoma to appear large and edematous? - ✔✔Normal after
surgery
✔✔What can be used to prevent the intestine loop from slipping back into the peritoneal
cavity? - ✔✔Rods and stents
✔✔When are rods and stents usually removed? - ✔✔Usually removed 5-7 days post-op
(up to 10 days depending on healing)
✔✔When assessing the skin after rods/stents are placed, what is normal? - ✔✔Skin
should be intact and without signs of irritation or erosion
✔✔What is effluent? - ✔✔Ostomy output
✔✔What is effluent from a more distal colostomy? - ✔✔Effluent will be more solid
✔✔What is effluent from an ascending colostomy? - ✔✔Effluent will be more liquid
✔✔What is effluent from an ilieostomy? - ✔✔Effluent will be liquid
AND SOLUTIONS GUARANTEE A+
✔✔What ostomy is most often used in emergency cases? - ✔✔Cecostomy
✔✔When are incontinent urinary devices required? - ✔✔Required when removal or
bypass of the bladder is necessary
✔✔What is an incontinent urinary device secondary to? - ✔✔Secondary to bladder
cancer; secondary to a fistula or neurogenic bladder
✔✔Ilieal Conduit: Bricker Pouch - ✔✔Gold standard for treatment of patients with
invasive bladder cancer; short segment of the bowel is taken to be fashioned into a
conduit for urine (bladder); ureters are anastomosed to ileal segment; distal segment is
brough through abdominal wall; a drainable ostomy appliance is placed over stoma
(requires pouch to collect urine)
✔✔What urinary diversion devises are catheterizable? - ✔✔Kock Pouch, Indiana Pouch
✔✔Illeovesicostomy - ✔✔Harvest a bowel segment and surgically connect it to the skin;
dependent drainage of urine into ostomy bag; stoma on skin; "chimney;" commonly
done for prostate cancer
✔✔Nephrostomy Tube - ✔✔Urinary diversion placed in the kidneys (STERILE);
✔✔Suprapubic Tube - ✔✔Urinary diversion placed in bladder (tube drains urine
secondary to incontinence, urinary retention)
✔✔End Stomas - ✔✔Bowel is completely separated; proximal and end portion of
bowels
✔✔In an end stoma, where is the proximal portion brought? - ✔✔The proximal portion is
brought through the skin
✔✔In an end stoma, where is the end of the bowel brought? - ✔✔The end of the bowel
is everted and sutured to the skin
✔✔Mucous Fistula - ✔✔Both the function and non-functioning end of the intestine may
be brought through the abdominal wall; the patient has a functioning stoma and a
mucous fistula (double barrel stoma)
✔✔Loop Colostomy - ✔✔Represents a segment of the colon that is incompletely
divided but surgically opened on one side only (can have 2 openings); brought through
abdominal wall and secured to skin with a stoma rod beneath the loop;
, ✔✔How long is a loop colostomy in place? - ✔✔Left for 7-10 days
✔✔When observing the stoma, what color is normal? - ✔✔The stoma should be moist,
beefy red in color (no paler than mucous membranes)
✔✔When observing the stoma, what color is abnormal? - ✔✔If the stoma is a pale,
dusky blue/gray/black, there is a problem
✔✔What is the normal shape and protrusion of a stoma? - ✔✔The stoma should be
round or oval and protrude about 1-3 cm from the abdomen
✔✔Where should the lumen of a stoma be located? - ✔✔The lumen should be located
in the center of the stoma
✔✔Mucocutaneous Junction (New stoma) - ✔✔Assess where stoma is sutured to skin
(protrusion)
✔✔Where should you measure a stoma? - ✔✔Should be measured around
mucocutaneous junction
✔✔What size appliance should be used with an ostomy/stoma? - ✔✔Find the smallest
size appliance that fits the stoma without allowing for more than 1/8" of skin exposure
✔✔When is it normal for a stoma to appear large and edematous? - ✔✔Normal after
surgery
✔✔What can be used to prevent the intestine loop from slipping back into the peritoneal
cavity? - ✔✔Rods and stents
✔✔When are rods and stents usually removed? - ✔✔Usually removed 5-7 days post-op
(up to 10 days depending on healing)
✔✔When assessing the skin after rods/stents are placed, what is normal? - ✔✔Skin
should be intact and without signs of irritation or erosion
✔✔What is effluent? - ✔✔Ostomy output
✔✔What is effluent from a more distal colostomy? - ✔✔Effluent will be more solid
✔✔What is effluent from an ascending colostomy? - ✔✔Effluent will be more liquid
✔✔What is effluent from an ilieostomy? - ✔✔Effluent will be liquid
