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17 Cards in this Set
- Front
- Back
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WHEN IS A NG TUBE USED
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when a patient cannot chew or swallow food normally but can digest and absorbs nutrients
used for short term |
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CONTRAINDICATIONS FOR TUBE FEEDING
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minimal GI function, partially maintained, intestinal obstruction, intractable vomiting or diarrhea, acute GI bleed, inablity to gain enteral access
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CONSIDERATIONS FOR NG TUBE SELECTION
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status of GI tract, risk of aspiration, estimated duration of need, intact gag or cough reflex
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HOW TO DETERMINE IF NG TUBE IS PROPERLY PLACE
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confirm with x-ray; before every feeding check length of tube visible and then aspirate contents of stomach
check odor of residue |
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WHAT IS THE pH OF THE STOMACH
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gastric 1 - 4
intestinal > 7 trachealbronchial < 7 |
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WHERE IS MOST OF DIGESTION OCCUR
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small intestine
20 cm long with jejunum being the longest |
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WHAT IS THE DIFFERENCE IN GASTRIC CONTENTS AND INTESTINAL FLUIDS
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gastric - grassy green, off-white or tan
intestinal fluid is stained with bile, is golden yellow or brownish green |
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WHAT DO YOU ASSESS IN PATIENTS WITH NG TUBE
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bowel function/sounds, frequency and consistency of bowel mvmt, signs of nausea, vomiting, symptoms of aspiration, measure abdominal girth, bloating, distention, gastric residual
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WHAT DO YOU DO WITH THE CONTENTS YOU ASPIRATE
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put back in stomach
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WHAT IS PEG
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used for long term feedings
goes directly into the stomach |
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WHAT IS JEG
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goes into the small intestine because the stomach cannot digest nutrients
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WHAT IS ENTERAL NUTRITION/ TUBE FEEDING
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enteral nutrition is the administration of nutrients directly into the GI tract
preferred method for providing nutrition and be used when patient's GI tract is functional |
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RISKS &/OR COMPLICATIONS OF FEEDING TUBES
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drug interactions (dilantin binds to tube)
aspiration diarrhea caused by antibiotic use or sorbitol containing elixir hyperglcemia |
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WHAT IS THE TIMING OF TUBE FEEDING
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bolus - all at once
gravity drip (1/2 - 1 hr several times a day) continuous drip via infusion pump scheduled every 8, 12, 24 hrs |
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WHAT ARE THE TYPES OF SOLUTIONS USED
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blended
pureed prepared - Ensure, Glucerna |
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WHAT DO YOU DO TO PREVENT THE TUBE FROM BECOMING BLOCKED
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flush with water before and after every feeding and medication
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WHAT IS HYPERGRANULATION
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occurs at a result of extended inflammatory response
reaction to the tube along with friction, moisture, pressure described as itchy, sticky & yellow |
