What should be monitored in a patient with an ileostomy?

In a patient with an ileostomy, monitoring electrolyte balance and hydration is crucial due to the potential for increased fluid and electrolyte loss. The ilieostomy results in the diversion of intestinal contents, leading to the output of watery stool, which can lead to significant fluid loss. As such, these patients are at risk for dehydration and imbalances in electrolytes such as sodium, potassium, and bicarbonate.

Monitoring these factors is essential to prevent complications such as kidney dysfunction, muscle cramps, or cardiovascular problems due to electrolyte imbalances. Regular assessment of fluid intake and output, alongside routine lab work to check electrolyte levels, allows for timely intervention if issues arise. This focus on hydration and electrolyte balance is particularly vital given the patient's altered digestive process.