Shared Flashcard Set

Details

Ostomy Care Update
Special Pops Final Exam
31
Pharmacology
Professional
05/05/2014

Additional Pharmacology Flashcards

 


 

Cards

Term
Ostomy
Definition
surgically created opening with no sphincter
Term
normal characteristics of ostomy
Definition
red, moist, painless, size/ shape changes as it heals, intact skin
Term
ideal stoma (ostomy)
Definition
proper location, color, height/shape, location of opening
Term
ileosomy
Definition
opening into the ileum; mushy to liquid, digestive enzymes, +/- gas, usually little odor
Term
colostom
Definition
opening into the colon; liquid to somewhat solid, gas is common, odor
Term
urostomy
Definition
opening into the urinary system (ileal conduit is most common); output is liquid with some mucus
Term
peristomal (surrounding skin) assessment
Definition
integrity, plane, turgor, necessity of skin care tips like removal technique and skin cleansing
Term
skin barrier (attaches pouching system)
Definition
cut-to-fit, pre-sized, flat-skin, convex, standard wear, extended wear
Term
cut-to-fit
Definition
opening can be adjusted; best for: post-op, not round stomas, decreased inventory
Term
pre-sized
Definition
best after stoma size has stabilized, usually for stomas that are round, opening should hug the base of the stoma
Term
flat-skin
Definition
profile is level, more flexible than convex barriers
Term
convex
Definition
curve of barrier goes toward skin, belts may enhance effect of convexity
Term
standard wear
Definition
erodes when it comes in contact with liquide
Term
extended wear
Definition
formulated to be most resistant to liquid discharge
Term
tape
Definition
frames the skin barrier, helps secure pouching system, optional
Term
wear time
Definition
length of time the pouch can be worn before it fails
Term
MAX wear time
Definition
7 days
Term
pouch
Definition
collects discharge, contains odor, impacts body image
Term
pouch features
Definition
one-piece, two-piece, drainable, closed, urostomy, closure options, filters
Term
two piece pouching system
Definition
must have both pieces; flange type and size must match; flange size NOT EQUAL to stoma size
Term
one-piece pouching system
Definition
skin barrier and pouch are attached, may be easier to use, most flexible pouching option
Term
drainable pouch
Definition
a pouch with an opening at the bottom, used for COLOSTOMY and ILEOSTOMY, empty when 1/3 to 1/2 full
Term
closure options for drainable pouch
Definition
clamp, integrated closure
Term
closed pouches
Definition
a pouch without a clamp; COLOSTOMY, short-term use for ileostomy, limited dexterity; remove when 1/3 to 1/2 full.
Term
pouch filter
Definition
vents and deodorizes gas from pouch, option in closed and drainable pouches, best for COLOSTOMY, ileostomy with thick discharge, NEVER for urostomy
Term
Urostomy pouch
Definition
pouch with a spout, used for urinary diversions, empty when 1/3 to 1/2 full, may connect to bedside collector
Term
skin barrier paste
Definition
use as caulk to prevent leakage under the skin barrier, help fill in uneven areas
Term
tips for pastes
Definition
past is NOT an adhesive, too much paste will decrease wear time so more is NOT better, replace cap after use
Term
barrier rings
Definition
prevent leakage under barrier, protect skin, alternative to paste, create oval and customize openings
Term
tips for barrier rings
Definition
easier to apply ring to back of skin barrier first, can be stretched to different sizes, can easily be broken and reformed
Term
other accessories to prevent skin irritation, stipping, removal easier
Definition
skin sealant, skin wipes and skin barrier powder, lubricating deodorant
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