CPD modules

Care and management of adults with a high-output ileostomy in community and hospital settings

  • RCN accredited
  • Peer reviewed
  • Certificate
  • Learning time: 02 hrs
  • Last updated: 1970
  • Link to RCNi portfolio

An ileostomy is where the small bowel is diverted to the abdominal surface resulting in a formation of a stoma. A high-output ileostomy is generally regarded as one that passes more than 1L of faeces in 24 hours. When this occurs, the small bowel may be unable to absorb sufficient electrolytes, fluid and nutrition. This could result in electrolyte disturbance, dehydration, malnutrition and renal impairment or acute kidney injury (AKI).

Hydration requirements can be more complex for patients with an ileostomy because fluid is not reabsorbed into the body through the large bowel. This module discusses the problems, complications and effective management of high-output ileostomy.


Please note that information provided by RCNi Learning is not sufficient to ensure competence in the skill. Assessment of competence should take place in line with local practice. Practice should always align with local protocols and procedures, latest guidelines and any regulatory code. All modules should currently be viewed together with available national and local Covid-19 guidelines. For advice, go to www.rcn.org.uk/covid-19/rcn-position

Breege O’Neill, Clinical Nurse Specialist Stoma Care, Salts Healthcare
Carol Althorp, Clinical Nurse Specialist Stoma Care, Salts Healthcare

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