Ostomy Types
Loop of bowel brought through abdomen to skin surface, temporarily supported by plastic bridge or rod.
Loop Ostomy
5mL castile soap, 1L solution, instill 500mL
soap suds Enema
Lasix
Edema
Pulmonary Edema
Hypertension
Hydromorphone
Paralytic Ileus
Impaired Consciousness
Furosemide [Lasix]
Hypokalemia
Electrolyte disturbance
Dehydration
Lasix
Skip missed dose
Fall risk with urinary frequency
2 separate stomas created. Distal colon is bypassed.
Double barrel Colostomy
Nursing technique - Fleets Enema
Insert lubricated tip towards umbilicus.
Slowly squeeze solution until container is compressed
Keep container compressed while removing.
Retain as long as possible
Ibuprofen
Fever reducer
Ketorolac
GI bleed
Hydromorphone [Dilaudid]
Respiratory Depression
Decreased Blood Pressure
Constipation
Ibuprofen
Take with food to avoid GI upset
From Small Intestine, bypasses entire large intestine; Right lower Quadrant
Dark green liquid - very irritating to skin
Ileostomy
When patient complains of cramping during Enema.
Clamp or lower solution for 30 seconds.
Try for retention for 5-10 minutes.
Heparin sq
To prevent thromboembolism
Metoprolol
HR <45
SBP <100
Dyspepsia
GI bleed
Ibuprofen / Ketorolac
NSAIDS in general
Know Blood Pressure/ Heart rate before giving
Benazepril
Lisinopril
Metoprolol
Created when entire bladder must be removed. Loop of intestinal ileum used as conduit for urine, attaches to ureters and stoma formed.
Ileal conduit
What kind of PPE for Enemas?
Gloves, Gown
Anti-emetic, prevent nausea/ vomiting
Ondansetron
Thrombocytopenia
Out of range PT/PTT/INR
Heparin
Hypotension
Metoprolol
Check Blood Sugar before giving
Insulin - Regular
One or both ureters are redirected from kindey through abdominal wall to form stoma
Ureterostomy
What position for Enema
SIMS
MRSA infections
Cdiff
Vancomycin
Vancomycin
Kidney disease
Bleeding
Heparin
Ceftriaxone [Rocephin] - IM/IV
Check for Cephalosporin Allergies