Final

Front 1

If the GI tract is not functioning or must be by-passed for a medical condition, tube feeding will not work, in these cases, _____ ____ _____ is used. Fluids containing essential nutrients that are infused directly into the venous system.

Back 1

Total parenteral nutrition

Front 2

Salem sumps: 12-18 fr nasogastric tubes are used for temporary tub feedings and can also be used to do what?

Back 2

decompress the stomach

Front 3

Small bore weighted feeding tubes are anywhere from ____ -____ fr. these tubes have a stylet in place to help stiffen the small tube to allow for insertion. The stylet is removed post insertion. Never reinsert the stylet as there is a risk of perforation of the gut.

Back 3

7-12

Front 4

This is a small diameter tube that is placed through a surgical incision in the abdominal wall and into the jejuneum.

Back 4

jejunostomy tubes or J tubes.

Front 5

This larger diameter short tube is placed into the stomach through the abdominal wall. They have a ballon on the end to help with placement.

Back 5

gastric tubes or G Tubes

Front 6

These tubes are placed either during an operative procedure requiring general anesthesia or during an endoscopic procedure that requires conscious sedation, what are the names of these two tubes?

Back 6

peg or pej tubes

Front 7

What three ways are feedings administered?

Back 7

bolus, gravity drip or pump

Front 8

What position should you place the patient in to reduce the possibility of aspiration of formula into the lungs.

Back 8

high fowlers or at least 30 degrees

Front 9

J tubes should be checked with an ____ for placement before initial instillation of liquids and as needed for suspicion of inadvertent tube misplacement.

Back 9

x-ray

Front 10

_____ tubes should be checked for placement prior to each bolus feeding or each medication administration and periodically (q 4hours) during intermittent feeding.

Back 10

nasogastric

Front 11

Traditional check of tube placement is insufflation of air while listening over the ____ area.

Back 11

gastric

Front 12

Other tecniques of placement checks include gastric aspiration.
-Check aspirate for appearance (grassy green, clear and colorless, cloudy white)
-check aspirate for pH
-- gastric contents should have pH equal to or less than ___.

Back 12

5

Front 13

With ____ feedings this residual check should be done before each feeding.

Back 13

intermittent

Front 14

With continuous feedings the check should be done at least every ____ hours.

Back 14

eight

Front 15

An exception is ____ feeding tubes in which gastric residuals cannot be checked.

Back 15

jejunostomy.

Front 16

Method
Disconnect feeding set from the feeding or unplug the tube
Insert a ____ syringe (adults) or 20 ml syringe (peds) into the end of the feeding tube.
Pull back on the syringe until no more gastric contents can be aspirated. May need to empty syringe into a clean measuring containor and aspirate more if the residual is more than the contents of one syringe.

Back 16

50-60 ml

Front 17

What is the most common complaint withh tube feedings?

Back 17

diarrhea

Front 18

Diarrhea can be caused by high osmolarity of feeding, feedings may need to be started at _____ strength.

Back 18

1/4 or 1/2

Front 19

How often should a feeding set up be changed?

Back 19

every 24 hours

Front 20

If a tube is obstructed and you suspect it to be up against folds in stomach, try _____ or insufflation of air or change patient position.

Back 20

irrigation

Front 21

If tube is occluded, try irrigation with ______, use 20-30 ml syringe to prevent tube rupture.

Back 21

warm water