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18 Cards in this Set
- Front
- Back
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nasogastric tube
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pliable tube that's inserted through client's nasopharynx into the stomach;
tube has hollow lumen that allows removal of gastric secretions & introduction of solutions into the stomach |
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How do you determine the length of the NG tube to be inserted?
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measure the distance from the tip of the nose to the earlobe to the xiphoid process of the sternum,
then mark it w/ tape |
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purposes of nasogastric intubation
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decompression,
feeding (gavage) |
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decompression
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removal of secretions & gaseous substances from gastrointestinal tract;
prevention or relief of abd distention |
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feeding (gavage)
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instillation of liquid nutritional supplements or feedings into the stomach for clients unable to swallow fluid (usually temp means of feeding)
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types of decompression NG tubes
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Salem sump,
Levin, Miller-Abbot (most common) |
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types of feeding NG tubes
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Duo,
Dobhoff, Levin |
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purposes of NG/PEG tubes
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compression,
lavage |
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compression
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internal application of pressure by means of inflated balloon to prevent internal esophageal/gastrointestinal hemorrhage
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type of compression tube
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Sengstaken-Blakemore
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lavage
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irrigation of stomach in cases of active bleeding, poisoning, or gastric dilation
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types of lavage tubes
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Levin,
Ewald, Salem sump |
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PEG tubes
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stands for percutaneous endoscopic gastrostomy tube;
surgically inserted into stomach/jejunum |
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purpose of PEG tube insertion
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allow for liquid feedings when client requires long term enteral feedings
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What are some possible complications?
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dislodgement,
infection, distention |
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What should you assess for?
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client for abd complications,
irritation & signs of infection @ insertion site, patency of tube |
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Concerning continuous feeding via PEG tube, how often should you check for residual?
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q4-6h or as ordered
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bolus feeding
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may also be ordered for client w/ PEG tube;
are ordered for a specific time frame only; may be ordered q2h or q4h |
