AND SOLUTIONS GUARANTEE A+
✔✔Expected effluent ouput - ✔✔1. small amount of oozing
2. no bleeding from stoma after 24 hrs
3. stool based on location
4. assess volume, color, and consistenty
5. intestine produces mucus
✔✔Complications of a stoma - ✔✔1. pneumonia
2. peritonitis
3. perforation
4. atelectasis
5. stoma prolapse
6. stoma retraction
7. skin irritation
8. fecal impaction
✔✔Nursing diagnoses - ✔✔1. imbalanced nutrition
2. risk for constipation/diarrhea
3. fluid volume deficit
4. anxiety
✔✔The flange/skin appliance should be cut how many mm larger than stoma - ✔✔3-4
mm
✔✔When do you empty an ostomy bag? - ✔✔1/3 to 1/2 full or full of gas
✔✔When do you change the pouch? - ✔✔inactive times (before meals and bed, 2-4
after eating)
✔✔Entire pouch should be changed every - ✔✔3-7 days
✔✔How do you clean the stoma? - ✔✔warm water and mild soap, pectin-based skin
barrier
✔✔Most common infections with a stoma - ✔✔yeast and fungal, becomes red and
spotty
✔✔What can be dusted lightly over peristomal skin to help with irritation? - ✔✔nystatin
powder (mycostatin)
✔✔Diet - ✔✔1. individualized
2. gradually returns to normal diet
3. chew food all the way