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34 Cards in this Set
- Front
- Back
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Purpose of an NG tube |
de compress stomach via suction |
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What are NG tubes used for |
vomiting relieve obstruction distention better healing gastric secretions remove toxinx |
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What are the different types of NG tubes |
Levine----> single lumen
Gastric sump----->salem sump with a anti-reflux valve
Miller-Abbott double lumen to small intestine
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never turn suction |
up to full force |
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salem has ___ lumens. the ___ one serves as an ______ vent. |
2 lumens 2nd one air
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the second lumen is also known as |
pig tail |
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perform oral care of a patient with an NG tube |
every 2 hours |
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flush a peg tube |
every shift
30-60 ml of water |
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parenteral nutrition is when |
a patient cant be fed enterally |
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why use parenteral nutrition |
NPO more than 5 days
malnourished
cancer patient
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TPN meets ___ % of a patients mineral needs( carbs, fats, protein, vitamin and minerals) |
100 |
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a large _______ ________ is required for TPN and dilution of the fluid |
central vein |
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what veins are usually used in TPN |
jugular or subclavian |
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complications associated with TPN |
infection
fluid overload |
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TPN inadequately used nutrients |
glucose protein |
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Nursing measures |
assess the site prevent dislodgement Perform Nitrogen Balanced studies weekly Strict I&O recording Daily weights Encourage ambulation |
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PPN can be used as a __________ measure |
temporary |
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PPN is ________ concentrated than a TPN |
less |
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PPN is infused through a ________ line |
PICC |
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Disadvantages of PPN |
irritation can cause sclerosis
large fluid volume is required to deliver nitrients |
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Enternal Feeding
Bowel sounds and abdominal assessment should be done _________ feeding (with/without) distention |
before
without |
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feeding formula should be at ____ temperature |
room |
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prepare a ___ hour supply with Eternal feeding |
4 |
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with Eternal feedig what do you do with the unused portion |
cover it and put it in the fridge |
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Eternal Feeding
New feeding container should be used q__h |
24 |
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Eternal Feeding
HOB must be at |
30 |
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Eternal Feeding
If residual volume is more than ____ Stop feeding |
150 |
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ALWAYS __________ the residual amount |
reinstill |
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Eternal Feeding
With Bolus feeding |
pour the feed into the syringe and let infuse by gravity |
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when do you flush the tube during Eternal Feed |
After you check the residual
30-50ml tap |
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cyclic feed |
12-18 hours a day then brake |
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bolus |
all at once
no more than 400 |
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intermittent |
only gastric tubing 4-6 feedings a day 30min-1hr
250-400 |
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accessory organs r/t GI |
liver gallbladder pancreas |
