Ileostomy Care: Post-op Monitoring & Dietary Management

• What is the primary focus of ileostomy care post-operation?

  Monitoring intake and output, and dietary management
• What are the key aspects of monitoring intake and output in ileostomy care?

  • Accurate monitoring of fluid and electrolyte balance
  • Minimal drainage in first 24-48 hours
  • High-volume output (1200-1800 mL/day) once peristalsis returns
  • Average output stabilizes to approx. 800 mL/day
• How much drainage is expected in the first 24-48 hours post-ileostomy?

  Minimal drainage
• What is the expected high-volume output once peristalsis returns after ileostomy?

  1200-1800 mL/day
• What does the average output stabilize to later after ileostomy surgery?

  Approximately 800 mL/day
• What dietary management is recommended post-ileostomy?

  • Drink at least 1.5 to 2 L of fluid daily
  • Start with a low-residue diet
  • Gradually reintroduce insoluble fiber
• How much fluid should a patient drink daily after ileostomy?

  At least 1.5 to 2 L
• What type of diet is recommended initially after ileostomy?

  Low-residue diet
• When can insoluble fiber be reintroduced after ileostomy?

  Gradually, after initial low-residue diet
• What is required for adapting to an ostomy?

  Psychological support
• What concerns might patients have after an ostomy?

  Body image, sexual activity, and lifestyle changes
• How long does it typically take to resume daily activities after an ostomy?

  2 to 3 weeks
• Why is open communication important for ostomy patients?

  It helps address concerns and coping strategies
• What are the key aspects of stoma care for patients adapting to an ostomy?

  • Gradual adaptation process
  • Importance of psychological support
  • Concerns about body image and lifestyle
  • Resumption of daily activities in 2-3 weeks
  • Encouragement of open communication and coping strategies