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31 Cards in this Set
- Front
- Back
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Is NGT insertion a clean or sterile procedure?
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clean!
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How can you tell that the feedings are not being tolorated in TPN?
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if the residual is >2 times the hourly rate
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What is it called if PN goes in a central vein?
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central parenteral nutrition
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what is it called when PN goes in a peripheral vein (a large peripheral vein)
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peripheral parenteral nutrition
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What type of PN would you use for supplements needed only for a short time, if protein and caloric requirements are not high, & if qthe risk or a central catheter is too great?
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peripheral parenteral nutrition
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Change PN bags every:____ hours
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24
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If the PN solution runs out before another bag of solution is ready, what should the nurse do?
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administer D10 or D20 (10% or 20% glucose solution) to prevent hypoglycemia
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Initially after starting PN solution, how often should the nurse check blood glucose levels?
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q4-6 hours
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What kind of bottle should you administer PN in?
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glass to prevent precipitation
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When tube feeding, residual volume should be checked at least every ___ hours initially and then every ____ hours to determine if the patient is tolerating the rate.
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2
4 |
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Start tunbe feeding only after ____ _____ are present (usually within ___ hours of placement)
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bowel sounds;
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How should you give oral medications in a feeding tube?
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crushed and dissolved in at least 60 ml warm water; flush with 30ml water before and after administration
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Should you add medication to enteral feeding formula?
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no!
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Why are surgical drains placed during surgery?
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because the tendency to bleed and the inflammatory response causes a fluid accumulation
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How should drainage look immediately post-op?
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sanguinous
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how should drainage look in the first 24 hours post-op?
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serosanguinous
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how should drainage look after the first 24 hours post op?
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serous, no odor.
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how do you empty a jackson-pratt drain?
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with a leur-lock syringe! Do no squeese it out of drain directly. Could splash and could alter your reading the output.
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how much drainage is expected from a NGT/gasterostomy tube daily?
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up to 1500mL
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how much drainage is expected from a T-tube/bile per day?
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500 mL
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what color should drainage from an NGT/gastrostomy tube be?
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pale/yellow-green/ bloody following surgery
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what color should drainage be from a hemovac?
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variable, usually serosanguinous
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what color should drainage be from a T-tube/bile?
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bright yellow to dark green
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how should drainage from a NGT/gastrostomy tube smell?
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sour
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how should drainage from a hemovac/wound drainage smell?
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same as wound dressing
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how should drainage from a T-tube/bile smell?
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acidic
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What consistency should drainage from a NGT/gastrostomy tube be?
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watery
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what consistency should drainage from a hemovac/wound drainage be?
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variable
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what consistency should drainage from a T-tube/bile be?
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thick
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More than ____mL of drainage immediately postop should be reported to the physician
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500mL
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When would you not want to use TED hose or SCD's(synchronized compression devices) on a patient?
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if there are known blood clots: it could dislodge the clot and create PE. Instead, give them bed rest until the clot resolves.
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