Final answer:
An ileostomy is a surgical procedure where the small intestine is diverted through an opening in the abdomen. Postoperative care includes monitoring the stoma and ensuring proper fluid management. In cases of infection, such as with a catheter site, antiseptic and antibiotic treatments are necessary.
Step-by-step explanation:
When a patient cannot have a new fecal pouch crafted and sutured to the anus, an ileostomy may be necessary. An ileostomy involves bringing the distal ileum through the abdominal wall, enabling the collection of watery chyme into an adhesive appliance or bag. During postoperative care, it is crucial for the patient and healthcare providers to monitor the area around the stoma for signs of irritation or infection, as indicated by redness or discomfort. Adequate fluid intake and output should be tracked carefully, and deviations from normal should be addressed promptly, as seen in the information provided on intake and urine output over the course of two days. Additionally, in the clinical focus case of Barbara, proper management of infection at a catheter site is important, including the use of antiseptic agents and antibiotics like oxacillin, especially for immune-compromised patients such as those undergoing chemotherapy.