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Related Concept Videos

Ostomy Care01:24

Ostomy Care

3.2K
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Peritoneal Dialysis III: Nursing Management01:25

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Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
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Tracheostomy Care II: Procedure01:25

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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
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Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Managing high-output stomas: module 3 of 3.

Rebecca Slater1, Simon Gabe2

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British Journal of Nursing (Mark Allen Publishing)
|December 17, 2013
PubMed
Summary
This summary is machine-generated.

Managing enterocutaneous fistulae (ECF) and high-output stomas requires careful nutritional support, either via parenteral nutrition (PN) or enteral nutrition (EN). Treatment decisions balance medical/surgical options, considering patient status and intestinal anatomy.

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Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Management
  • Nutritional Support

Background:

  • Enterocutaneous fistulae (ECF) and high-output stomas present significant management challenges, risking dehydration, electrolyte imbalance, malnutrition, and sepsis.
  • Malnutrition and sepsis are leading causes of mortality in patients with ECF and high-output stomas, underscoring the critical need for adequate nutrition.
  • Treatment strategies for ECF and high-output stomas are complex, involving medical/conservative management or surgical interventions.

Purpose of the Study:

  • To outline nutritional management and appliance selection for patients with ECF and high-output stomas.
  • To provide an understanding of nutritional needs and practicalities for maintaining appliance adherence and peri-stomal skin integrity.
  • To discuss surgical management of ECF/high-output stomas and the role of intestinal transplantation.

Main Methods:

  • Review of nutritional management principles for ECF and high-output stomas.
  • Discussion of appliance selection and adherence strategies.
  • Exploration of surgical interventions and intestinal transplantation referral processes.

Main Results:

  • Nutritional status is paramount, influencing decisions between parenteral nutrition (PN) and enteral nutrition (EN).
  • Effective appliance management is key to reducing peri-stomal skin breakdown.
  • Intestinal transplantation is a complex option for select patients with intestinal failure.

Conclusions:

  • Optimal nutritional support and appliance management are crucial for patients with ECF and high-output stomas.
  • Surgical intervention and, in select cases, intestinal transplantation are vital components of managing complex gastrointestinal conditions.
  • Understanding these multifaceted approaches improves patient outcomes and quality of life.