Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/17

Click to flip

17 Cards in this Set

  • Front
  • Back
Nasogastric N/G
Frequently used for shor term
enteral feeding. Tend to be
small, soft, flexible.
Increases pt comfort,
decreases mucosal damage.
Clog easily if not flused
thoroughly. Can become
kinked/dislodged due to
vomiting/coughing.
Gastrostomy
G-tube
For patients requiring enteral
feedings for extended periods of
time. Useful for patients with
high risk of aspiration.
Inserted surgically.
Dobhoff
feeding tube
used for liquid feedings. small
diameter and flexibility
increase pt comfort. can give
PO meds if ordereds.
Salem sump
NG tube
used for decompression, removal
of gastric contents, air vent,
larger diameter usually
increases pt discomfort
Purpose of blue
"pigtail" on salem
sump NG tube
airvent that connects to the
second lumen. allows for free
continuous drainage of
secretions when sump tube main
lumen is connected to suction
Jejunostomy
intubation
For patients requiring enteral
feedings for extended periods of
time. Useful for patients with
high risk of aspiration.
Inserted surgically.
Gerontoligic considerations
regarding enteral
nutrition
F+E imbalance
Dehydration
decreased ability to handle
glucose loads, Na+ intake,
large volumes of formula,
increased risk of aspiration
Common health
conditions which
require either N/G
to LWS or enteral
feeding
Depression, vomiting, GI bleed,
SBO, critical illness/trauma,
cancer, GI disorders, dementia
Common potential
enteral tube feed
complications
Aspiration
Diarrhea
Pulmonary aspiration -
regurgitation, tube displaced,
supine position, deficient
gag reflux. Diarrhea -
hyperosmolar formula or meds,
allergy to ingredients,
malabsorption.
Constipation
Tube occlusion
Constipation - lack of fiber,
free water, meds, inactivity.
Tube occlusion- pulverized meds,
sediment of formula
Tube displacement
Abd cramping n/v
Tube displacement - coughing,
vomiting, not taped securely.
Abd cramp - delayed gastric
emptying, lactose intolerance,
intestinal obstruction
Delayed gastric
emptying
Serum electrolyte
imbalance
Delayed emptying - diabetic
gastroparesis. Serum
electrolyte - excess GI losses,
dehydration, DM
Increased resp.
quotient
Fluid overload
Increased resp - overfeeding of
carbs/fats. Fluid overload -
refeeding syndrome in
malnutrition, excess free water
Determining
placement
By injecting 30 mL of air and
auscultating for placement.
Assessing gastric contents thru
suction.
Standard nursing care
required by a patient
receiving enteral
nutrition
monitor weight, I+O, assess
skin for irritation at
insertion site, keep clean,
monitor for adequate fluid
intake, irrigate tube
before/after feedings/meds,
check placement, keep at 30
degree position during and
after feeding
How can you facilitate
gastric emptying?
Place pt on
their right side
4 p's of NG's
Position
Pulmonary
Peristalsis
Placement