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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
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% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
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% Document Info
\author{Michellephillips02}
\pdfinfo{
  /Title (stomas-and-feeding-tubes.pdf)
  /Creator (Cheatography)
  /Author (Michellephillips02)
  /Subject (Stomas \& Feeding Tubes Cheat Sheet)
}

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% Commands
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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Stomas \& Feeding Tubes Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Michellephillips02} via \textcolor{DarkBackground}{\uline{cheatography.com/214485/cs/46715/}}}
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Michellephillips02 \\
  \uline{cheatography.com/michellephillips02} \\
  \end{tabulary}
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\columnbreak
\begin{tabulary}{5.8cm}{L}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 6th July, 2025.\\
   Page {\thepage} of \pageref{LastPage}.
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

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% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{p{0.72 cm} x{2.16 cm} x{2.16 cm} x{2.16 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{STOMAS}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{4}{x{8.4cm}}{{\emph{surgically created opening in the abdominal wall that allows part of the intestine to be diverted outside the body. It enables waste to exit the body}}} \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
{\bf{Stoma type}} &  & {\bf{Expected output post operatively (48-72hrs)}} & {\bf{Post adaptation}} \tn 
% Row Count 8 (+ 4)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Jejunostomy} & opening in the jejunum (middle the small intestine). bypass stomach \& upper small intestine. Where oral input isn't possible, but L.I functions. & \textless{}6L/d & \textless{}6L/d \tn 
% Row Count 21 (+ 13)
% Row 3
\SetRowColor{white}
\seqsplit{Ileostomy} & Opening in the ileum (the last part of the S.I) – bypass \seqsplit{L.Intestine.} {\bf{End:}} ileum separated from colon and brought out to form stoma. {\bf{Loop:}} a loop of small intestine pulled through abdominal incision, then opened and stitched to skin to form stoma & \textless{}2L/d Generally, will be functional within 24 hrs & \seqsplit{600-800mL/day} \tn 
% Row Count 43 (+ 22)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{p{0.72 cm} x{2.16 cm} x{2.16 cm} x{2.16 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{STOMAS (cont)}}  \tn
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Colostomy} & Colon brought through abdomen & May have no output initially for up \textless{}72hours  May need low insoluble fibre first few weeks are surgery, then \seqsplit{re-introduce} & 200-600mL/d thick stool Rare to have high stoma output \tn 
% Row Count 11 (+ 11)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Stoma troubleshooting}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Reduce output}} {\emph{High output = 1500ml/day+}} & ↑ salt \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{Thicken output}} & rice, potatoes, pasta, white bread, smooth peanut butter, cheese, oats \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
{\bf{↑ output}} & caffeine, sugary drinks, artificial sweeteners, alcohol, spicy foods \tn 
% Row Count 11 (+ 4)
% Row 3
\SetRowColor{white}
{\bf{Too much gas}} & avoid cabbage, onions, legumes, broccoli, cauliflower, asparagus, peas, sugary drinks, chewing gum, drinking through straw, smoking \tn 
% Row Count 18 (+ 7)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Stoma troubleshooting}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Reduce output}} {\emph{High output = 1500ml/day+}} & ↑ salt \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{Thicken output}} & rice, potatoes, pasta, white bread, smooth peanut butter, cheese, oats \tn 
% Row Count 7 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Tube Feeding (EN)}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/michellephillips02_1751788045_Picture3.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.584 cm} x{2.508 cm} x{2.508 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{EN Feeding Routes}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Tube}} & {\bf{Notes}} & {\bf{Risks}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
{\bf{Nasogastric}} (Nose \textgreater{} Stomach) & \textgreater{}2 weeks. Normal GI function. ✓ Medications in tube. Bedside insertion. Common and preferred. & Aspiration risk. Discomfort. \tn 
% Row Count 9 (+ 8)
% Row 2
\SetRowColor{LightBackground}
{\bf{Nasoduodenal}} (Nose \textgreater{} duodenum) & \textgreater{}2 weeks. Normal SI, abnormal stomach. Bedside insertion. ✓ Medications in tube & Discomfort. Requires pump \tn 
% Row Count 16 (+ 7)
% Row 3
\SetRowColor{white}
{\bf{Gastrostomy "G Tube"}} (Straight into stomach) 2+ weeks. Normal GI function, bypass mouth. & Reduced risk of \seqsplit{displacement.}   ✓ bolus feeds.  x most medications in tube.  Flush w/ water after each feed. & Surgery – risk of infection \tn 
% Row Count 25 (+ 9)
% Row 4
\SetRowColor{LightBackground}
{\bf{Jejunostomy (PEJ)}} (Straight into jejunum) & 2+ weeks. Normal GI function, but need to bypass parts of the GI tract. ↑ tolerance. Eg. \seqsplit{pancreatitis.} & Surgery – risk of infection.  Requires pump \seqsplit{administration}.  Risk of clogging smaller lumen of tube. \tn 
% Row Count 33 (+ 8)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
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\begin{tabularx}{8.4cm}{x{3.52 cm} x{4.48 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Feeding Rates (EN)}}  \tn
% Row 0
\SetRowColor{LightBackground}
Continuous: \seqsplit{nasoduodenal-jejunal} & 100-120mL/hour \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Continuous: nasogastric & 250ml/hour \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Bolus & 150mL for small/old people, 400-600mL for bigger people/young people \tn 
% Row Count 8 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}