Ostomy exam prep 2024 with complete solution

Ostomy exam prep 2024 with complete solution IPAA - Answer ️️ -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? - Answer ️️ -ulcerative colitis What is the best surgical procedure for Crohn's affecting the large intestine? - Answer ️️ -total proctocolectomy and ileostomy continent ileostomy, kock pouch - Answer ️️ -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 - Answer ️️ -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 - Answer ️️ -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? - Answer ️️ -every 4 hours with 30ml of water, also flush before and after med administration Signs of an impending EC fistula - Answer ️️ -localized erythema, induration. local discomfort With a triple lumen GJ tube, which port should be used for feeding? - Answer ️️ -The Jejunal port. Gastric port is used for decompression and meds. DC instructions for new nephrostomy tube - Answer ️️ -change gauze dressing daily for first 2 weeks, then change twice weekly and PRN soiling How do you keep a hemovac drain patent? - Answer ️️ -Milk or strip it to remove blood clots and tissue shreds ileal conduit stoma site marking - Answer ️️ -right lower quadrant ileal conduit stoma site marking for an obese patient - Answer ️️ -right upper quadrant APR (abdominoperineal resection) - Answer ️️ -removal of rectum, anus and sphincter. Permanent end colostomy of sigmoid colon placed through LLQ. When does stomal necrosis occur? - Answer ️️ -within first 24 hours of creation treatment of mucocutaneous separation - Answer ️️ -fill defect with ostomy powder, fit appliance over the defect Which medications should be avoided with an ileostomy or transverse colostomy? - Answer ️️ -enteric coated or ER After surgical closure of the ileostomy, what happens to the superficial skin? - Answer ️️ -Left to close by secondary intention How can gas be managed by an ileostomate? - Answer ️️ -eating small, frequent meals Pouches should be emptied when how full? - Answer ️️ -1/3 to 1/2 full normal ileostomy output - Answer ️️ -after creation: 800-170