For a patient with a high output ileostomy, which physical condition should be monitored closely?

For a patient with a high output ileostomy, close monitoring of dehydration is crucial due to the potential for significant fluid losses. An ileostomy allows the contents of the small intestine to bypass the colon, which is responsible for absorbing water and electrolytes. When the output from the ileostomy is high, it can lead to an increased loss of both fluids and electrolytes, resulting in dehydration.

Dehydration can manifest as dry mucous membranes, decreased urinary output, low blood pressure, and electrolyte imbalances, which can have serious health consequences. It is essential for healthcare providers and patients to be vigilant about fluid intake and to replace lost fluids to maintain proper hydration and electrolyte balance. Therefore, given the circumstances surrounding high output ileostomies, monitoring for dehydration is vital for the safety and well-being of the patient.