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학습 자료 둘러보기 →In the first 24 to 72 hours after surgery, assess the stoma every 4 hours. A healthy stoma is rose to brick-red and moist. Document color, edema, and any signs of mucocutaneous separation.
Monitor output closely. Initially, expect serosanguineous drainage. Transition to liquid or pasty stool indicates return of bowel function. Report no output for more than 4-6 hours or sudden high-volume liquid output.
A stoma that turns pale, dusky, cyanotic, or black is a surgical emergency indicating ischemia or necrosis. Notify the surgeon immediately. Do not apply tight dressings or binders over the stoma.
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