WEB WOC OSTOMY CARE QUIZ
COMPREHENSIVE STUDY GUIDE WITH
SOLUTIONS
◉ descending colostomy function and management.
Answer: *function may not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
◉ descending colostomy complications.
Answer: *monitor, prevent, and manage constipation
*may cause erectile dysfunction
◉ continent ileostomy (kock pouch).
Answer: total proctocolectomy performed and abdominal ileal
pouch is made. The continence mechanism is a nipple valve
constructed in the pouch by intussusception.
◉ ileal pouch anal anastomosis (IPAA).
Answer: usually done in 1, 2, or 3 stages
,the colon and most of the rectum are removed, but the anus remains
intact, a pouch is constructed from the ileum and anastomosed to
the distal rectum, a temporary loop ileostomy is created to divert
stool while the anastomosis heals, the ileostomy is taken down once
the suture lines heal and normal bowel function is restored
◉ ileal/colon conduit location.
Answer: ileal: RLQ
colon: LLQ
◉ ileal/colon conduit disease and procedure.
Answer: bladder cancer, neurogenic bladder, refractory interstitial
cystitis, pre-existing small bowel disease indicates use of colon
conduit instead
segment of small bowel is brought to the skin and anastomosed with
the ureters, sigmoid colon is used instead of small bowel in colon
conduit
◉ ileal/colon conduit function and management.
Answer: *functions immediately with clear or blood tinged urine
*mucous threads are normal as the conduit was made from bowel
which secretes mucous
, *empty pouch when 1/3 to 1/2 full, change every 3-7 days
*can attach to straight drainage at night/in bed for prolonged
periods
◉ ileal/colon conduit complications.
Answer: *hyperchloremic hypokalemic metabolic acidosis
*pyelonephritis or long term kidney damage
*late onset vitamin B12 deficiency
◉ indiana pouch location.
Answer: RLQ
◉ indiana pouch disease and procedure.
Answer: bladder cancer, neurogenic bladder, pelvic exenteration
reservoir is constructed from distal ileum, ileocecal valve
(continence mechanism), and portion of right colon, many variations
(Mainz, Miami, Florida, Studor, Mitrofanoff - uses appendix)
*continent urinary diversion = urine is emptied from the reservoir
by catheterization
◉ indiana pouch function and management.
COMPREHENSIVE STUDY GUIDE WITH
SOLUTIONS
◉ descending colostomy function and management.
Answer: *function may not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
◉ descending colostomy complications.
Answer: *monitor, prevent, and manage constipation
*may cause erectile dysfunction
◉ continent ileostomy (kock pouch).
Answer: total proctocolectomy performed and abdominal ileal
pouch is made. The continence mechanism is a nipple valve
constructed in the pouch by intussusception.
◉ ileal pouch anal anastomosis (IPAA).
Answer: usually done in 1, 2, or 3 stages
,the colon and most of the rectum are removed, but the anus remains
intact, a pouch is constructed from the ileum and anastomosed to
the distal rectum, a temporary loop ileostomy is created to divert
stool while the anastomosis heals, the ileostomy is taken down once
the suture lines heal and normal bowel function is restored
◉ ileal/colon conduit location.
Answer: ileal: RLQ
colon: LLQ
◉ ileal/colon conduit disease and procedure.
Answer: bladder cancer, neurogenic bladder, refractory interstitial
cystitis, pre-existing small bowel disease indicates use of colon
conduit instead
segment of small bowel is brought to the skin and anastomosed with
the ureters, sigmoid colon is used instead of small bowel in colon
conduit
◉ ileal/colon conduit function and management.
Answer: *functions immediately with clear or blood tinged urine
*mucous threads are normal as the conduit was made from bowel
which secretes mucous
, *empty pouch when 1/3 to 1/2 full, change every 3-7 days
*can attach to straight drainage at night/in bed for prolonged
periods
◉ ileal/colon conduit complications.
Answer: *hyperchloremic hypokalemic metabolic acidosis
*pyelonephritis or long term kidney damage
*late onset vitamin B12 deficiency
◉ indiana pouch location.
Answer: RLQ
◉ indiana pouch disease and procedure.
Answer: bladder cancer, neurogenic bladder, pelvic exenteration
reservoir is constructed from distal ileum, ileocecal valve
(continence mechanism), and portion of right colon, many variations
(Mainz, Miami, Florida, Studor, Mitrofanoff - uses appendix)
*continent urinary diversion = urine is emptied from the reservoir
by catheterization
◉ indiana pouch function and management.
