Question

An 87-year-old woman underwent a total abdominal colectomy. Her ileostomy output is 1.5-2.0 liters per day. Supplementation of which of the following micronutrients should be considered?

1: Zinc
2: Copper
3: Vitamin E
4: Chromium

Answer 1

Supplementation of vitamin E should be considered for an 87-year-old woman with an ileostomy output following a total abdominal colectomy. Micronutrients such as zinc, copper, and chromium may not need supplementation. Option 1.

Step-by-step explanation:

After a total abdominal colectomy, an ileostomy is created to collect the watery chyme in a bag-like adhesive appliance. The output from the ileostomy is 1.5-2.0 liters per day. Considering this, the supplementation of vitamin E should be considered as it is fat-soluble and may be lost in the ileostomy output. Micronutrients such as zinc, copper, and chromium are not typically lost in large amounts through the ileostomy output, so supplementation for these micronutrients may not be necessary.