title: Nutritional and fluid requirements: high-output stomas.
abstract: Based on the current available evidence, this article explores the nutritional management of those with a high-output stoma. The main alterations required to the intake of patients with a high-output stoma include the use of an oral rehydration solution to ensure optimum absorption of fluid and sodium, and a high-calorie, high-protein diet, with the aim of optimizing nutritional status. Diet advice should be delivered by a dietitian with experience in managing these complex patients. Monitoring of electrolytes and micronutrients is essential, and long-term follow up from a multidisciplinary nutrition support team is invaluable in coordinating this. Patients with high-output stomas can enjoy good quality of life and long-term health if their condition is managed effectively by a well-organized multidisciplinary team.
authors.affiliation: Torbay Hospital, Torquay.
authors.forename: Sophie
authors.initials: S
authors.lastname: Medlin
mesh_terms: D006801:Humans; D044342:Malnutrition / Q000451:nursing / Q000517:prevention & control*; D018529:Nutritional Support / Q000451:nursing*; D010030:Ostomy / Q000451:nursing*; D013041:Specialties, Nursing / Q000379:methods*; D014882:Water-Electrolyte Balance