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26 Cards in this Set
- Front
- Back
S/S of dysphagia
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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 |
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How many days can a person be on a clear fluid diet
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no more than a couple of days before they are at risk.
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What are short term feeding tube options?
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Nasogastric and Orogastric feeding tubes inserted at the bedside
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What are long term feeding tube options?
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Gastrostomy Jejunostomy and combination tubes |
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Contributing factors to pressure ulcers
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1. Incontinence 2. Friction and shear 3. Immobility 4. Loss of sensory preception 5. Decreased activity level 6. Poor nutrition |
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What assessments need to be done wen doing a digital bowel disimpaction?
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Cardiac, and abdominal |
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What are the 4 requirements for a holistic nutritional assessment?
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1)Patient Hx both psycological and social 2)Diatary Hx 3)Physical examination and anthropometic measurments 4)biochemical indices |
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What are the anthropometric measurements?
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Height, weight, Skinfold thickness, Waist circumfrences, Muscle circumfrences
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What areas do you measure for muscle circumfrences?
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Mid arm and calf
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Lbs to KG
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Divide Lbs by 2.2
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Inches to m
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inches x 2.54 divided by 100
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What kind of diet would you order for heart failure, renal failure, cirrohsis, and hypertension
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Low sodium
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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:________________________.
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93%, a drop of 2% or greater may indicate silent aspiration
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How much weight would someone need to gain in 24 hrs that would indicate fluid retention
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2 lbs or 0.9 kg
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At what angle should the bed be kept at for a patient with a feeding tube running
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30-45 degrees
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What must happen before feeding or medication can be gived through a blindly placed feeding tube?
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an Xray
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You have just aspirated a feeding tube on a patient. What GRV would cause you to not continue with feeding?
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A single GRV of 500ml or 2 GRV's of greater then 250 taken 1 hr apart
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How much water should you flush a feeding tube with prior to administering a feeding?
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30 ml
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How often does a feeding tube bag need to be changed?
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every 24 hrs
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How often and how much does a continuous feeding tube need to be flushed?
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30ml every 4 hrs
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Hoow often should GRV be measured?
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every 4-6 hrs
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When are Jejunostomy tubes indicated?
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When risk for regurgitation and aspiration are high.
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BMI obesity
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30+
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BMI over weight
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25-29.9
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Normal BMI
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18.5-24.9
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Underweight BMI
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18.4 or less
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