Time to Read: About 4 minutes This information explains how to irrigate your sigmoid or descending colostomy. When you irrigate your colostomy, you’re
putting water through your stoma into your large bowel (colon). This allows you to empty your bowel. Irrigating your colostomy at the same time every day will help train your bowel to function on a regular schedule. This may allow you to stay free of drainage for 24 to 48 hours. You may want to irrigate within an hour after having a meal or hot drink. The irrigation will take up to 1 hour. It’s important that you never rush the irrigation. Before you begin irrigating on your own,
make an appointment with a Wound, Ostomy, and Continence (WOC) nurse. Your WOC nurse will give you instructions and will show you how to irrigate during this appointment. It’s important to irrigate your colostomy close to the same time every day. Your colon will get
used to emptying at this time and you’ll be less likely to have bowel movements between irrigations. You may want to irrigate within 1 hour after having a meal or hot drink. The irrigation will take 1 to 1.5 hours. It’s important that you never rush the irrigation. Don’t irrigate your colostomy if:
Check with your doctor before irrigating while you’re getting chemotherapy or radiation therapy. Irrigation isn’t recommended during these treatments. Instructions for Irrigating Your ColostomyBefore you start, gather your supplies. You’ll need:
Set up your supplies in a bathroom.
If you have any questions or concerns about irrigating your colostomy, contact your healthcare provider. What are the key nursing interventions for the care of a patient with a colostomy?Caring for a Colostomy. Use the right size pouch and skin barrier opening. ... . Change the pouching system regularly to avoid leaks and skin irritation. ... . Be careful when pulling the pouching system away from the skin and don't remove it more than once a day unless there's a problem. ... . Clean the skin around the stoma with water.. When doing colostomy irrigation at home a client with colostomy should be instructed to report to his physician which of the following signs?Question 20 Explanation: The patient should notify the doctor if he has difficulty inserting the irrigation tube into the stoma. Difficulty with insertion may indicate stenosis of the bowel. Abdominal cramping and expulsion of flatus may normally occur with irrigation.
What are the steps taken when irrigating a colostomy?Colostomy: Irrigating Your Colostomy. Fill the bag. Close the clamp on the tubing attached to the irrigation bag. ... . Put on the sleeve. Remove the cap or pouch from your stoma. ... . Insert the cone. Attach the cone to the tubing on the bag. ... . Remove the cone and clamp the sleeve. Wait about 60 seconds. ... . Clean the cone and the sleeve.. What should the nurse do after the colostomy irrigation fluid has instilled?After the water has been instilled, have him hold the cone in place for 10 seconds, then remove it from the stoma. Close the top of the sleeve and wait about 15 minutes for returns. Observe for complete emptying of the colon.
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