Colostomy Procedure

1. Assess patient's condition.
2. Gather all the equipments.
3. Explains the procedure to your client.
4. Position client on sitting or lying position.
5. Wear gloves
6. Empties the pouch when 1/3 to 1/2 full and assess for consistency and amount of affluent.
7. Removes appliances and discard.
8. Using warm water and milk soap cleans the peristomal skin and the stoma.
9. Dries the area thoroughly by patting with towel.
10. Check the stoma and peristomal skin.
11. Place a piece of tissue or gauze pad over the stoma, and change it as needed.
12. Measure the size of the stoma. Make an opening in the skin barrier. Remove backing to expose the sticky adhesive side.
13. Removes the tissue or gauze pad on the stoma.
14. Center the skin barrier over the stoma and gently press it onto the skin, smoothing out wrinkles or bubbles.
15. Removes the air from the pouch.
16. Documents for the characteristics of the stoma.

Administering Oxygen Procedure

1. Position client on semi-fowler's position.
2. Check for patency of airway. Observe for signs and symptoms associated with hypoxia.
3. Remove secretions.
4. Check for doctor's order. Note method of delivery, flow rate and duration of oxygen therapy.
5. Place necessary equipment at bedside: face mask / nasal catheter of right size; oxygen tubing; humidifier with sterile water; oxygen supply; tape
6. Give health teaching: "NO SMOKING, OXYGEN IN USE."; Remove cigarettes or matches or any volatile flammable materials; unplug electric equipments.
7. Wash hands.
8. Attach face mask or nasal cannula to approximately sized of oxygen tubing.
9. Attach it to humidified oxygen source.
10. Adjust flowrate to prescribed dosage (2-3L/min) before applying to client. Make sure humidifier is bubling.
11. Place face mask or cannula on client and adjust to snug but comfortable fit.
12. Assess and document client's color, breathing pattern, vital signs in 15-30 mins.

LABORATORY RESULTS of PAIENTS WITH PANCREATITIS:

Findings:
BUN increase: > 5 mg/dl
PO2: <60 mmHg
WBC: > 16,000 mm3
AST: > 250 U/ml
Fall in Hematocrit: >10%
Serum Calcium: <8 mg/dl
Fluid retention: > 6 L