Malnutrition

Front 1

purpose NOT intubation

Back 1

decompress stomach
lavage stomach
dx GI disorders
adm. meds and feeding
treat obstruction
compress bleeding site
aspirate gastric contents for analysis

Front 2

cyclic feeding

Back 2

stopped for short period, usually morning for am care

Front 3

tube placement

Back 3

xray most reliable

Front 4

nursing interventions tube feeding

Back 4

-placement
-daily weight
-assess bowel sounds before feeding
-accurate I&O
-initial glucose check
-label with date and time started
-change tubing q24h
-administration of feeding as
prescribed and according to pt. tolerance
-check residual prior to feedings q4-6h, make sure whatever you draw out you put back
-assess B's
-water before and after: med, feeding, residual check, q 4-6 hr, whenever discontinued or interrupted
-do not mix meds with feeding
-30 ml or larger syringe
-do not hang more than 4 hr feeding in open system, change syringe daily
-keep extra close by

Front 5

reduce aspiration risk with tube intubation

Back 5

-elevate HOB 30-45 degrees during and at least 1 hr after meal
- monitor residual
-check tube placement q4-6h
testing aspirated content for ph, co2, or inject air an listen for swoosh

Front 6

refeeding syndrome

Back 6

-life threatening
-cause is starvation
-when restarting feeding cells suck up glucose and electrolytes from bloodstream, depleting them from blood stream. cause electrolyte shift
-

Front 7

refeeding syndrome s/s

Back 7

shallow respiration
weakness
acute confusion
seizures
increased bleeding tendencies

Front 8

complications of TEN

Back 8

refeeding syndrome
tube misplace dislodge
abd. distention , n/v/d
fluid electrolyte imbalance
aspiration pneumonia
nasopharyngeal irritation
hyperglycemia
dumping syndrome

Front 9

tube care

Back 9

change drain sponge q shift
skin care, assessment
document area around skin, fungal infection common, monitor for signs
move on disk to prevent skin breakdown

Front 10

parenteral nutrition

Back 10

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