Ostomy Web Woc Exam with verified detailed ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
solutions
Indiana Pouch. Continent diversion - correct answer✔✔Isolated and detubularized segment ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
of right colon is used for the reservoir and 10-12 cm of ileum used from the catheterizable
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
channel. Ileocecal valve is the continence mechanism. The ureters are connected to the ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
posterior wall of the reservoir. Patient catheterizes to empty continent diversion. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Reasons for procedure are the same as ileal conduit ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Patients need adequate mental capacity and motivation to manage self cath. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Immediately following surgery: Has JP drain. 24F Malecot ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
16-18F to hold channel open (capped) ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
||//\\|| MANAGEMENT: Smaller stoma that can be covered by a dressing. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Teach cath on a schedule. ||//\\|| ||//\\|| ||//\\|| ||//\\||
Complications / disadvantages: Deterioration of the renal function. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Cath to empty, carry a cath at all times||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Manual dexterity necessary ||//\\|| ||//\\||
Emergency: unable to cath ||//\\|| ||//\\|| ||//\\|| ||//\\||
Mucous problems ||//\\||
Ileal Conduit / colon conduit - correct answer✔✔acolon / use transverse or sigmoid colon if
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
pre existing small bowel disease and small boel damage by pelvie radiation. LLQ or RLQ
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Loop end stoma may be utilized in the obese patient.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Due to malignancy caused by aggressive high grade urothelial or transitional cell carcinoma
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
of the bladder.
||//\\|| ||//\\|| ||//\\||
Ileal or, less frequently seen, colon conduit is used to divert urine in malignant disease, easy
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
to care for, fewer complications than other diversion.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
, Management: INCONTINENT STOMA ||//\\|| ||//\\||
stents. If a rod or bridge used for support of loop end stoma, it is removed upon healing in 5
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
days - 3 weeks.
||//\\|| ||//\\|| ||//\\|| ||//\\||
COMPLICATIONS / DISADVANTAGES ||//\\|| ||//\\||
Renal function deterioration ||//\\|| ||//\\||
Hyperchloremic hypokalemic metabolic acidosis ||//\\|| ||//\\|| ||//\\||
Use of a pouching system ||//\\|| ||//\\|| ||//\\|| ||//\\||
A MALIGNANCY CAUSED BY AGGRESSIVE HIGH GRADE UROTHELIAL OR
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
TRANSITIONAL CELL CARCINOMA OF THE BLADDER. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
The patient who is NPO for several days is at risk for atrophy of which of the following
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
structures in the mucosal surface of the sb? - correct answer✔✔Villi ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
The section of the bowel with the greatest bacteria is - correct answer✔✔distal portion of
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
the colon ||//\\||
A patient receiving an ileal pouch likely has what disease? - correct answer✔✔Colorectal
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
cancer
for a patient experiencing a recurrence of Crohns what s/s? - correct answer✔✔Obstructive
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
abd pain ||//\\||
Ulcerative colitis commonly exhibits s/s? - correct answer✔✔superficial mucosal ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
involvement
UC s/s is freq bloody stools with fecal urgency and iflammation of the colon limited to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
superficial mucosal lining. Fistula formation is typical with Crohns dz, never UC ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
solutions
Indiana Pouch. Continent diversion - correct answer✔✔Isolated and detubularized segment ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
of right colon is used for the reservoir and 10-12 cm of ileum used from the catheterizable
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
channel. Ileocecal valve is the continence mechanism. The ureters are connected to the ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
posterior wall of the reservoir. Patient catheterizes to empty continent diversion. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Reasons for procedure are the same as ileal conduit ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Patients need adequate mental capacity and motivation to manage self cath. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Immediately following surgery: Has JP drain. 24F Malecot ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
16-18F to hold channel open (capped) ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
||//\\|| MANAGEMENT: Smaller stoma that can be covered by a dressing. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Teach cath on a schedule. ||//\\|| ||//\\|| ||//\\|| ||//\\||
Complications / disadvantages: Deterioration of the renal function. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Cath to empty, carry a cath at all times||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Manual dexterity necessary ||//\\|| ||//\\||
Emergency: unable to cath ||//\\|| ||//\\|| ||//\\|| ||//\\||
Mucous problems ||//\\||
Ileal Conduit / colon conduit - correct answer✔✔acolon / use transverse or sigmoid colon if
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
pre existing small bowel disease and small boel damage by pelvie radiation. LLQ or RLQ
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Loop end stoma may be utilized in the obese patient.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Due to malignancy caused by aggressive high grade urothelial or transitional cell carcinoma
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
of the bladder.
||//\\|| ||//\\|| ||//\\||
Ileal or, less frequently seen, colon conduit is used to divert urine in malignant disease, easy
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
to care for, fewer complications than other diversion.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
, Management: INCONTINENT STOMA ||//\\|| ||//\\||
stents. If a rod or bridge used for support of loop end stoma, it is removed upon healing in 5
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
days - 3 weeks.
||//\\|| ||//\\|| ||//\\|| ||//\\||
COMPLICATIONS / DISADVANTAGES ||//\\|| ||//\\||
Renal function deterioration ||//\\|| ||//\\||
Hyperchloremic hypokalemic metabolic acidosis ||//\\|| ||//\\|| ||//\\||
Use of a pouching system ||//\\|| ||//\\|| ||//\\|| ||//\\||
A MALIGNANCY CAUSED BY AGGRESSIVE HIGH GRADE UROTHELIAL OR
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
TRANSITIONAL CELL CARCINOMA OF THE BLADDER. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
The patient who is NPO for several days is at risk for atrophy of which of the following
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
structures in the mucosal surface of the sb? - correct answer✔✔Villi ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
The section of the bowel with the greatest bacteria is - correct answer✔✔distal portion of
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
the colon ||//\\||
A patient receiving an ileal pouch likely has what disease? - correct answer✔✔Colorectal
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
cancer
for a patient experiencing a recurrence of Crohns what s/s? - correct answer✔✔Obstructive
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
abd pain ||//\\||
Ulcerative colitis commonly exhibits s/s? - correct answer✔✔superficial mucosal ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
involvement
UC s/s is freq bloody stools with fecal urgency and iflammation of the colon limited to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
superficial mucosal lining. Fistula formation is typical with Crohns dz, never UC ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
