NCLEX-PN

Ileal Conduit (also known as a Bricker's or loop stoma): In this procedure, a section of the ileum (part of the small intestine) is used to create a conduit for urine to pass from the ureters to the abdominal surface. A stoma is created, and urine is collected in an external pouch. Complications : ●​ Urinary Tract Infections (UTIs) : Since the normal urinary pathway is disrupted, UTIs can be a common concern. ●​ Renal Infections : Infections of the kidneys can occur if there's a backflow of urine into the ureters. ●​ Vitamin B12 Deficiency : The portion of the small intestine used can affect the absorption of certain nutrients, including vitamin B12. Neobladder (Orthotopic Neobladder) : In this procedure, a new bladder is created from a section of the small intestine or other tissues, and it's connected to the urethra. This allows for more normal urination. Complications : ●​ Urinary Stones : Neobladders can increase the risk of urinary stones. ●​ Changes in Urinary pH : Altered urinary pH can lead to conditions that promote stone formation. Miami Pouch : A continent cutaneous urinary diversion that allows for urine storage inside the body. Complications may overlap with those of other urinary diversions. Nephrostomy : A temporary or permanent surgical procedure that involves the placement of a catheter directly into the kidney to divert urine. Complications : ●​ Mucous Plugs : Catheters may become blocked by mucous plugs, requiring maintenance or replacement. ●​ Nocturnal Enuresis : Involuntary urination during sleep can be a concern in some cases. Preventing complications involves promoting adequate fluid intake, dissolving mucous plugs with products like Marlen MucoSperse, and maintaining urinary pH through hydration and dietary measures. Understanding these interventions and their potential complications is crucial for providing comprehensive care to clients undergoing enemas and urinary/fecal diversion procedures, enhancing their overall well-being and quality of life. Urinary Catheterization and Prevention of Infections Urinary catheters serve as valuable tools to manage urinary leakage and prevent skin breakdown caused by the corrosive nature of urine. However, the decision to insert a catheter should be strategic, and the ongoing use of indwelling catheters should be assessed daily. Preventing catheter-associated

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