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29 Cards in this Set
- Front
- Back
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when would you lavage the stomach? |
ingestion/ overdose |
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What is a NG tube |
tube inserted through the nose into the stomach |
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what is a tube inserted into the nose to the second portion of the small intestine |
nasal jujenum tube |
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Nasal tube inserted into the mouth to the stomach? |
oral gastric tube used for overdose PT's to give charcoal |
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tube inserted into the nose and just to the beginning of the small intestine? |
nasal duodenum tube |
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what tube do you have to do an X-ray with? |
dob hoff ng tube |
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can you do air auscultation to check placement of NG tube. |
Yes but also should check PH WILL NOT WORK ON A DOB HOFF TUBE ONLY XRAY |
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wat to do before each feeding? |
aspirate and check residual |
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dumping syndrome |
explosive diarehha causes hypotension, tachcardia |
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too fast of feeds can cause? |
stomach cramps and can be cold |
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cyclic feedings? |
supplemental feedings at night PT usually eats during day. |
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when can you use the G tube after being placed |
24hrs sometimes 2 days |
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how to maintain tube function? |
flush with water |
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how often to check placement? |
once a shift |
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correct way to check placement? |
measure, air auscultation, Check PH |
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what vein do you want to use with parenteral therapy? |
central line because hard and caustic on veins |
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how long can a PICC line be used |
months up to a year |
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how long can you have a port-a-cath |
5 years |
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important to check residual WHY? |
aspiration risk |
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why do we need to monitor glucose with feedings? |
high sugar content |
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azotemia |
increased BUN CR indicitive renal failure |
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how often to check residual |
every 4-8hrs |
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how to reduce risk of aspiration |
monitor residuals keep head of bed up 30-45 degrees
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aspiration pnuemonia |
increase RR, fever, choking, breathing difficulty |
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when would we start parenteral nutrition |
when the PT has lost 10% of the weight TPN/PPN |
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can PPn be delivered through a peripheral line? |
yes, although preferred to be central line |
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what are good indicators for caloric intake |
protein and albumin |
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what puts you at risk for rebound hyperglycemia |
if you stop the feeding to quickly |
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mixture of lipid emulsions, proteins, carbs, electrolytes, vitamins, water, trace minerals |
TPN |
