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26 Cards in this Set

  • Front
  • Back
S/S of dysphagia

1.Frequent drooling


2. Loss of food from the mouth


3. Spitting food out


4. Choking or coughing


5. Gurgling or wet sounding voice quality

How many days can a person be on a clear fluid diet
no more than a couple of days before they are at risk.
What are short term feeding tube options?
Nasogastric and Orogastric feeding tubes inserted at the bedside
What are long term feeding tube options?

Gastrostomy


Jejunostomy


and combination tubes

Contributing factors to pressure ulcers

1. Incontinence


2. Friction and shear


3. Immobility


4. Loss of sensory preception


5. Decreased activity level


6. Poor nutrition

What assessments need to be done wen doing a digital bowel disimpaction?

Cardiac, and abdominal



What are the 4 requirements for a holistic nutritional assessment?

1)Patient Hx both psycological and social


2)Diatary Hx


3)Physical examination and anthropometic measurments


4)biochemical indices

What are the anthropometric measurements?
Height, weight, Skinfold thickness, Waist circumfrences, Muscle circumfrences
What areas do you measure for muscle circumfrences?
Mid arm and calf
Lbs to KG
Divide Lbs by 2.2
Inches to m
inches x 2.54 divided by 100
What kind of diet would you order for heart failure, renal failure, cirrohsis, and hypertension
Low sodium
The nurse is feeding a patient at risk for aspiration. The patient’s oxygenation status is being monitored by pulse oximetry. Before feeding, oxygenation level is 95%. The nurse suspects that the patient may be silently aspirating. The pulse oximetry reading would be:________________________.
93%, a drop of 2% or greater may indicate silent aspiration
How much weight would someone need to gain in 24 hrs that would indicate fluid retention
2 lbs or 0.9 kg
At what angle should the bed be kept at for a patient with a feeding tube running
30-45 degrees
What must happen before feeding or medication can be gived through a blindly placed feeding tube?
an Xray
You have just aspirated a feeding tube on a patient. What GRV would cause you to not continue with feeding?
A single GRV of 500ml or 2 GRV's of greater then 250 taken 1 hr apart
How much water should you flush a feeding tube with prior to administering a feeding?
30 ml
How often does a feeding tube bag need to be changed?
every 24 hrs
How often and how much does a continuous feeding tube need to be flushed?
30ml every 4 hrs
Hoow often should GRV be measured?
every 4-6 hrs
When are Jejunostomy tubes indicated?
When risk for regurgitation and aspiration are high.
BMI obesity
30+
BMI over weight
25-29.9
Normal BMI
18.5-24.9
Underweight BMI
18.4 or less