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造口護理師檢視迴腸造口術後的追蹤結果。哪些結果需要追蹤？請標示出暗示造口灌流受損、皮膚損傷、脫水或阻塞的結果。

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Follow-up area追蹤項目	Documented finding記錄結果
Stoma color造口顏色	The stoma changes from red to dusky purple during the afternoon.造口在下午從紅色變為暗紫色。
Stoma surface造口表面	The stoma remains moist and red with mild expected swelling.造口保持濕潤紅色，伴隨輕微預期性腫脹。
Cleaning清潔	A scant spot of blood appears after gentle contact with the stoma.輕觸造口後出現少量血點。
Pouch seal造口袋密封性	Leakage leaves nearby skin wet, burning, and painful.滲漏導致周圍皮膚濕潤、灼痛。
Pouch emptying造口袋排空	The client empties the pouch when it is about 1/3 full.個案在造口袋約1/3滿時排空。
Peristomal skin造口周圍皮膚	The skin remains dry and intact under a closely fitted barrier.在緊密貼合的保護墊下，皮膚保持乾燥完整。
Fluid balance體液平衡	Watery output reaches 1,500 mL/24 hr with dizziness.24小時內水樣輸出量達1,500 mL，伴隨頭暈。
Barrier opening保護墊開口	The measured opening fits closely around the base of the stoma.測量的開口緊密貼合造口基部。
Bowel function腸道功能	No output is present for 8 hours with cramping and repeated vomiting.8小時無輸出，伴隨絞痛和反覆嘔吐。

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