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10 Cards in this Set
- Front
- Back
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Checking fingerstick (Capillary) blood glucose levels |
Verify medical prescription Ask patient to wash her hands with soap and water turn on and calibrate glucose meter Check that the strip is the right type Gloves Make sure there is a tight seal on the container Select and clean a fingerstick site with an alcohol pad |
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Checking fingerstick... (cont.) |
Use a different site each time Adult/Child lateral aspect of finger(less nerve fibers) Infant: heel or toe Prick the finger (Exposed-Blade Disposable lancet or Semiautomatic injector) Wipe away first drop of blood and squeeze again for another droplet Do not smear blood over reagent strip |
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Inserting nasogastric tube |
Plastic tube-soak in warm water for 10 mins Pt in high fowlers Measure tube for placement(tip of the nose to earlobe, from earlobe to the xiphoid process) Lubricate 10 cm Give patient glass of water with straw to swallow Instruct pt to hold head straight up and extend neck against pillow |
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Inserting nasogastric tube (cont.) |
advance tube along floor of nasal passage Slight resistance at nasopharynx pt eyes may tear provide tissue continue past nasopharynx gently rotating tube toward other naris Pause for a moment- this reduces gagging Flex head and take a swallow of water (closes trachea opens esophagus) Rotate tube 180 degrees |
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Inserting nasogastric tube (cont.) |
if patient is not allowed water dry suck air through straw Advance tube 5 to 10cm with each swallow- uses normal peristalic movement to help advance tube into stomach Temporarily secure the tube with tape and verify tube placement (radiographically) before placement of fluids or meds |
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Inserting nasogastric tube (cont.) |
Aspirate gastric contents to verify placement Gastric aspirates are often white or greenish Inject air into the NG tube; auscultate over stomach Ask the patient to speak If tube is not in stomach advance another 2.5-5 cm |
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Tube feedings |
Check the medical prescription Check the expiration date Intermittent feedings- room temperature Continuous feedings- cold Open system with feeding bag Open system with syringe Closed system with prefilled bottle with drip chamber: a prefilled container can safely hang for 24 to 36 hours |
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Removinng NG tube |
High fowlers place the plastic bag and emesis basin within reach Drape a linen saver pad or towel across the patient's chest and don procedure gloves Turn off suction if necessary flush tube with 10 mL of water Untape Hold breath and pull out quickly, steadily |
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Removing NG tube |
If the patient cannot do so clean her nares and provide mouth care If NG tube was attached to suction assess drainage. Dispose of disposable stuff |
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Parenetral Nutrition |
WIIPE
Check and examine PN container Do not administer if it has a brown layer, oil droplets or oil on surface. Compare bag to pts id band Connect the IV tubing to the PN, prime the tubing PN admistered via PICC Connect an Inline filter if the IV tube does not have one. |
