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27 Cards in this Set
- Front
- Back
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Where are NI tubes placed?
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Directly into the small intestine beyond the pyloric sphincter of the stomach.
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What is the advantage of NI feedings?
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Decreased gastric reflux, which reduces the risk of aspiration.
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Where is a gastrostomy tube placed?
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Surgically placed in the stomach and exits through an incision in the upper left quadrant of the abd, where it is sutured in place.
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What does PEG stand for?
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Percutaneous Endoscopic Gastrostomy (tube)
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What does PEJ stand for?
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Percutaneous Endoscopic Jejunostomy (tube)
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When is a PEJ tube used?
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When clients have a gastric ileus (decreased or absent peristalsis that affects the stomach but not the intestines), delayed gastric emptying, gastric resections, or neurological impairments that place them at greater risk of aspiration
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How long should an open feeding system be allowed to hang?
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8 hours max.
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How long should a closed feeding system be allowed to hang?
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24 hours max.
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What should be verified before giving a tube feeding?
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physicians orders for rate, formula, frequency...
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When prepraring the feeding solution, what should be checked?
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Expiration date, correct formula, formula at room temperature
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When connecting tubing to feeding bag container, what technique should be used?
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aseptic (prevent contamination)
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How and why is the line primed?
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By filling the feeding bag, opening the regulator clamp, filling the tubing w/ formula (to remove air), hang bag on IV pole. This is done to prevent excess air from entering the GI tract once infusion begins.
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How high should the HOB be elevated?
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high-Fowler's or at least 30 degrees
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If client must remain supine, what position should he be placed in?
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reverse Tredelenburg (to reduce risk of aspiration w/ head higher than stomach)
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When should residual volume be checked when administering tube feedings?
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Before each feeding, q 4 - 12 hours (for continuous feedings)
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Before starting the NG/NI feeding, what should be done?
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Check amount of gastric contents. Return to stomach unless volume is greater than 100 mls.
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What should be done if gastric content amounts to more than 100 mls?
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Hold feeding; contact physician.
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Why are gastric contents returned to the stomach?
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Prevents fluid and electrolyte imbalance.
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For gastrostomy tubes, when should the doctor be notified re: amount <100ml aspirated?
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After several occasions...(can still be fed)
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After checking content volumes, what should be done IMMEDIATELY prior to feeding?
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Irrigate feeding tube with 30 ml of water to clear the tubing, and check position.
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If irrigation is unsuccessful, what should be done:
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1) change position (lay on left side)
2) notify physician |
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Name the steps to giving a bolus feeding.
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1) pinch proximal end of tube
2) attach barrel of syringe to end of tube 3) fill syringe w/ measure amt of formula 4) repeat until full amt prescribed is given |
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what is the highest elevation the syringe can be raised to?
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no more than 18 inches
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Name the steps to giving an intermittent feeding
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1) attach tubing set to proximal end of feeding tube.
2) set rate via roller clamp 3) allow to empty over 30-60 minutes 4) Label bag w/ tube feeding type, strength, amt, date, time, initials |
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Name the steps to giving a continuous feeding.
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1) Connect tubing set to proximal end of feeding tube.
2) Connect tubing through infusion pump and set rate |
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How can tube patency be maintained?
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Administer free water as ordered, between feedings.
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What should be done when tube feedings are not being administered?
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The proximal end of the feeding tube should be capped or clamped. (to prevent air from entering the stomach)
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