Colostomy and ileostomy nursing care video for the NCLEX exam. Learn about the types of gastrointestinal ostomies, such as the colostomy and ileostomy. The types of colostomies include the ascending colostomy, transverse colostomy, double-barrel colostomy, descending colostomy, and sigmoid colostomy. An ostomy is a surgical opening created on the surface of the abdomen to allow stool (waste) to exit the body rather than through the rectum. Gastrointestinal ostomies will be formed from the small or large intestine. A colostomy is a surgical opening created to bring the LARGE intestine (also called colon) to the surface of the abdomen. An ileostomy is an opening created to bring the SMALL intestine to the surface of the abdomen (specifically the ileum). As a nurse providing care to a patient with a GI ostomy, it is important to know the pre-opt/post-opt care along with diet, medication restrictions (no enteric-coated and sustained-released medications) for the ileostomy, the different types of ostomies, stoma care, and the stool consistency expected from the ostomy. Depending on the type of ostomy and its location, the patient should have the following stool types: Ascending: liquid stool, Transverse: lose to partly formed stool, and Descending/Sigmoid: similar to normal consistency, and ileostomy: liquid stool.

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