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Given that DS previously had a total colectomy, would he have a colostomy
or an ileostomy? - 🧠 ANSWER ✔✔He would have to have an ileostomy,
since the entirety of his colon has already been previously removed. Due to
his current anatomy the ileum must be used for emptying.
What would you expect to see if DSs ostomy has normal function - 🧠
ANSWER ✔✔Normal, passive, passing of gas/stool (1200mL/day)
Beefy red stoma
Describe 3 common complications with an ileostomy. - 🧠 ANSWER
✔✔obstruction/blockage - avoid solid foods after surgery and fully chew
food, massage area around stoma
Skin breakdown/stoma issues
, Dehydration - there is no large intestine so you are not properly/effectively
absorbing water from food waste, drink A LOT (avoids kidney
stones/kidney failure)
Vitamin B12 deficiency - part of the colon for regulating the levels is
removed
DSs past medical history of fistula, combined with the probability of
blockage or obstruction, places him at an increased risk for which
problems? - 🧠 ANSWER ✔✔This places him at high risk for infections
As you assess the stoma, you look for signs that it is healthy. Which
assessment findings are characteristics of a healthy stoma? - 🧠 ANSWER
✔✔The stoma is moist
The stoma is cherry red to dark pink in color (beefy red)
What stoma changes would you report immediately to the physician? - 🧠
ANSWER ✔✔If the stoma is bleeding
If the stoma turned purple, black, or white
If the stoma is leaking discharge that smells bad
If the stoma is dry