Podcast
Questions and Answers
What is a primary reason for performing a colostomy?
What is a primary reason for performing a colostomy?
- To prevent the growth of benign tumors in the rectum
- To increase colon motility in patients with constipation
- When feces cannot progress naturally from the colon to the anus (correct)
- To enhance the absorption of nutrients in the colon
Which of the following is NOT an indication for a colostomy?
Which of the following is NOT an indication for a colostomy?
- Excessive weight loss (correct)
- Rectal or colon cancer
- Inflammatory bowel disease
- Birth defect
What characteristic indicates a healthy stoma?
What characteristic indicates a healthy stoma?
- Warm to touch and dry
- Dark purple color and swollen
- 1 cm above skin level and red/pink color (correct)
- Painless and evidence of erythema
Which of the following describes an abnormal stoma color?
Which of the following describes an abnormal stoma color?
What is a common complication associated with colostomy?
What is a common complication associated with colostomy?
What is the main purpose of a colostomy?
What is the main purpose of a colostomy?
A colostomy can only be a permanent solution.
A colostomy can only be a permanent solution.
Name one condition that may necessitate a colostomy.
Name one condition that may necessitate a colostomy.
A healthy stoma should be __________ in color.
A healthy stoma should be __________ in color.
Match the colostomy type to its classification:
Match the colostomy type to its classification:
Which of the following is a sign of an abnormal stoma?
Which of the following is a sign of an abnormal stoma?
Excessive bleeding from the stoma during cleaning is considered normal.
Excessive bleeding from the stoma during cleaning is considered normal.
What is the expected height of a healthy stoma above skin level?
What is the expected height of a healthy stoma above skin level?
To assess the stoma’s health, it should be __________ and painless.
To assess the stoma’s health, it should be __________ and painless.
What is a possible complication of a colostomy?
What is a possible complication of a colostomy?
Flashcards
What is a colostomy?
What is a colostomy?
A surgical procedure that reroutes the colon to an opening in the abdomen, creating a stoma. It can be permanent or temporary.
Why would a colostomy be necessary?
Why would a colostomy be necessary?
This is done when the colon can't properly move waste to the anus due to injury, disease, or birth defects.
What are the characteristics of a healthy stoma?
What are the characteristics of a healthy stoma?
A healthy stoma is pink or red, moist, painless, and about 1 cm above skin level, with no signs of inflammation.
How do you assess a stoma for bleeding?
How do you assess a stoma for bleeding?
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What is stoma obstruction?
What is stoma obstruction?
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Why is a colostomy performed?
Why is a colostomy performed?
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Describe a healthy stoma.
Describe a healthy stoma.
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What is the difference between normal and abnormal bleeding?
What is the difference between normal and abnormal bleeding?
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What are the two types of colostomies?
What are the two types of colostomies?
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How are colostomies classified based on their location?
How are colostomies classified based on their location?
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What determines if a colostomy is temporary or permanent?
What determines if a colostomy is temporary or permanent?
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What are the common complications of a colostomy?
What are the common complications of a colostomy?
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What does stoma swelling indicate?
What does stoma swelling indicate?
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What is involved in the assessment of a colostomy?
What is involved in the assessment of a colostomy?
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Study Notes
Colostomy Definition and Purpose
- A colostomy is a surgical procedure where a damaged part of the colon is removed and the remaining end is diverted to an opening in the abdominal wall.
- It can be temporary or permanent.
- A colostomy is performed when the natural passage of feces from the colon to the anus is blocked, by disease, birth defect, or trauma affecting the rectum or anus.
- It's also used to redirect fecal flow from an inflamed area or surgical site.
- It's used to treat large intestine disorders, including cancer, obstruction, inflammatory bowel disease, ruptured diverticulum, ischemia, or injury.
- The colon is shortened to remove a damaged section, and the remaining end is diverted to an opening in the abdominal wall.
Indications for Colostomy
- Birth defects
- Inflammatory bowel disease
- Colon or rectal injury
- Partial or complete intestinal blockage
- Rectal or colon cancer
Healthy Stoma Criteria
- Stoma positioned 1 cm above skin level
- Moist
- Red or pink color
- Painless
- No surrounding skin redness, rash, ulcers, or inflammation
Colostomy Classification
- Duration:
- Permanent
- Temporary
- Stoma Site:
- Ascending
- Transverse (1-loop or double-barrel)
- Descending
Colostomy Assessment
- Stoma Color:
- Normal: Pink/red, warm
- Abnormal: Black, dusky, pale, or sloughy
- Skin:
- Normal: Swelling common post-surgery, often reducing within 6 weeks.
- Abnormal: Sudden or unexplained stoma swelling
- Bleeding Stoma:
- Normal: Slight blood on wipe/spot when cleaning
- Abnormal: Excessive bleeding during cleaning, blood in the pouch, or internal bleeding
Potential Colostomy Complications
- Leakage
- Prolapse
- Obstruction or stenosis
- Stoma swelling (edematous and enlarged)
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Description
This quiz covers the definition, purpose, and indications for a colostomy. Learn about the surgical procedure's classification, healthy stoma criteria, and reasons for its necessity. Test your knowledge on this important medical topic.
