Ostomy exam prep 2023 with 100% correct answers

IPAA Ileal pouch anal anastomosis. Entire colon is removed. Ileum used to create a J pouch, which is then connected to the anus. Done in stages. Stage 1: loop ileostomy and pouch created. Stool diverted through ileostomy while pouch matures (7-10 weeks). Stage 2: reconnected IPAA is most commonly done to treat which condition? ulcerative colitis What is the best surgical procedure for Crohn's affecting the large intestine? total proctocolectomy and ileostomy continent ileostomy, kock pouch Reservoir pouch is created inside the abdomen with a portion of the terminal ileum. A valve is then constructed in the pouch and a stoma is brought through the abdominal wall. A catheter or tube in inserted into the pouch several times a day to drain feces from the reservoir Kock pouch post-op care pouch connected to cath for 14 days, irrigated 3x/day after 2 weeks start progressive clamping of tube for gradual pouch expansion cath removed on day 24 post-op, continue to irrigate and intubate BCIR Barnett Continent Intestinal Reservoir improvement upon the Kock continent ileostomy Enteral feeding tube with continuous feedings: how often should it be flushed, and with how much water? every 4 hours with 30ml of water, also flush before and after med administration Signs of an impending EC fistula localized erythema, induration. local discomfort With a triple lumen GJ tube, which port should be used for feeding? The Jejunal port. Gastric port is used for decompression and meds. DC instructions for new nephrostomy tube change gauze dressing daily for first 2 weeks, then change twice weekly and PRN soiling