Certified Wound Ostomy Nurse (CWON) Practice Test

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What defines a low output fistula?

  1. More than 500 ml per 24 hours

  2. Between 300 ml and 500 ml per 24 hours

  3. Less than 500 ml per 24 hours

  4. 500 ml or more per 12 hours

The correct answer is: Less than 500 ml per 24 hours

A low output fistula is defined as producing less than 500 ml of output per 24 hours. This classification is important for managing the care of patients with enteric fistulas, as it helps determine the appropriate treatment plan, nutritional support, and wound care strategies needed. When a fistula output is classified as low, it usually indicates that the patient may have a more stable condition compared to high output fistulas, which can lead to significant fluid and electrolyte imbalances. Understanding this distinction allows healthcare providers to tailor their management approach effectively, potentially including measures to protect skin integrity and monitor for signs of dehydration while promoting optimal healing.

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