BIO MED Ostomy Set 1 Latest Update

BIO MED Ostomy Set 1 Latest Update § Indications for a G-tube - ANSWER · Head and neck cancer · Benign and malignant esophageal disease · Neurological dysfunction · Trauma · Respiratory failure what is the assessment of Mucocutaneous separation - ANSWER · Can be partial or complete, superficial or full thickness (fascia level) · Explore depth with Q tip · Reference a clock for location what is the assessment of irritant dermatitis - ANSWER § Erythema and superficial erosions § Skin damage limited to area of exposure to caustic fluids, often irregular shaped lesions § Examine back of skin barrier to assess undermining or erosion of skin barrier what is a fistula - ANSWER o Abnormal passage between two or more epithelialized surfaces that results in communication between one body cavity or hollow organ to another hollow organ or skin what is a PEG tube - ANSWER method of placing a tube into the stomach through the skin aided by endoscopy what are the clinical presentations for fistulas - ANSWER o Fever and abdominal pain are the initial indicators o Passage of GI secretion or urine into an open wound bed or through an unintentional opening in the skin what is the etiology of Mucocutaneous separation - ANSWER · Compromised healing that occurs early postop · Breakdown of the MC suture line as a result of tension, poor healing, infection what is the etiology of irritant dermatitis - ANSWER § Exposure of the peristomal skin to effluent § Stoma may retract with a shift in body position Type of effluent and exposure time what are the risk factors of Mucocutaneous separation - ANSWER · Risk factors - patients on steroids, immunosuppressed, DM, hx of radiation, malnutrition, abdominal infection why is PEG tube the method of choice - ANSWER due to simplicity, effectiveness, and lower cost what are the etiological factors for fistulas - ANSWER o Commonly develop postop due to anastomotic breakdown o Can occur spontaneously due to IBD, cancer, diverticulitis o Other risk factors - malnutrition, sepsis, hypotension, vasopressors, steroids what is the treatment of irritant dermatitis - ANSWER § Correct underlying problem of pouch leakage § Skin barrier powder to dry erosions § May need liquids skin barrier film over powder as in crusting Education on resizin