“I need to drink one and a half to 2 quarts of liquid each day.”
“I need to take a laxative such as milk of magnesia or if I don’t have a BM every day.”
“If my bowel pattern changes on its own. I should call you.”
“Eating my meals at regular times is likely to result in regular bowel movements.”
High large volume
Low. small volume
The stoma extends 1/2 inch above the abdomen.
The skin under the appliance looks red briefly after removing the appliance.
The stoma color is a deep red purple.
An ascending colostomy just delivers liquid feces
The client will wear a medical alert bracelet for antibiotic allergy.
The client will return to his or her previous fecal elimination pattern.
The client verbalizes the need to take an antidiarrheal medication PRN.
The client will increase intake of insoluble fiber such as grains. rice. and cereals.
Prepare to irrigate the colostomy.
After assessing the stoma and surrounding skin. notify the surgeon.
Assess bowel sounds and administer antiemetic.
Administer a bulk forming laxative. and encourage increased fluids and exercise.
Large quantities of fat mixed with pale yellow liquid stool.
Brown. formed stool.
Semi soft tar colored stools.
Narrow. Pencil shaped stool
Risk for deficient fluid volume
Disturbed body image
Risk for impaired skin integrity
Has a spinal cord injury.
Is on bedrest.