What should a nurse interpret from a client with inflammatory bowel disease who undergoes an ileostomy if, on the first day after surgery, the client's stoma appears dusky?
An ileostomy is a surgical procedure which usually involves removing the whole of the large intestine or colon and sometimes the rectum. The end of the remaining small intestine or ileum, is then cut and brought to the surface of the abdomen to form a stoma, which is usually situated on the right hand side of the body. The ileostomy may be temporary or permanen.
Blood supply to the stoma has been interrupted.-an ileostomy stoma forms as the ileum is brought through the abdominal wall to the surface skin, creating an artificial opening for waste elimination. the stoma should appear cherry red, indicating adequate arterial perfusion. a dusky stoma suggests decreased perfusion, which may result from interruption of the stomas blood supply and may lead to tissue damage or necrosis. a dusky stoma isn't a normal finding. adjusting the ostomy bag wouldn't affect stoma color, which depends on blood supply to the area. an intestinal obstruction also wouldn't change stoma color.
Blood supply to the stoma has been interrupted.-an ileostomy stoma forms as the ileum is brought through the abdominal wall to the surface skin, creating an artificial opening for waste elimination. the stoma should appear cherry red, indicating adequate arterial perfusion. a dusky stoma suggests decreased perfusion, which may result from interruption of the stomas blood supply and may lead to tissue damage or necrosis. a dusky stoma isnt a normal finding. adjusting the ostomy bag wouldnt affect stoma color, which depends on blood supply to the area. an intestinal obstruction also wouldnt change stoma color.