Naso gastric tubes & Drainages Flashcards
types of NGTs?
normal: single tube salem sump (suction) nasojejenal (longer)
size of NGTs for SBO?
16 french
output for NGT?
initially: can be litres
1500-2000ml stomach per day normal
1000ml: bile
3000-3500ml: small bowel/pancreas
faecalized fluid means what?
been in the small bowel for a few days, may need surgery
watery-thin, bile fluid in NGT means?
been a short amount of time
why won’t NGT drain?
position of tube
bag is above head
feeding tube, NGT, how to check?
x-ray and CHECK the position
gastrostomy how place?
through abdo wall,
endoscopic (Peg)
gastrostomy when use, why?
long term feeding
jejunostomy why?
if undergoing upper GI surgery who needs post-op therapy
colonic resections based on?
the blood supply
why do a left hemicolectomy?
cancer near splenic flexure
Hartmann’s procedure is?
take away sigmoid
leave a stoma
reattach later 6/12 after inflammation decreases
anterior resection?
remove part of rectum
proctectomy is?
remove the whole rectum
continence is impaired
abdomino-perineal resection for what?
lower rectal cancer and anal cancers
end ileostomy, how much in the bag every day normal?
500-700ml per day
high output ileostomy, keep an eye on? risk of?
potassium levels will drop
thicken the diet up
loop ileostomy?
bring a loop, then a transverse cut and sew it to the abdo
why loop ileostomy?
temporary for procedures, and you want to reverse it soon.
loop colostomy for?
bowel cancer
large bowel obstruction
ileal conduit?
take out piece of small intestine, plug in ureters and attach to abdo wall to bag
NGT functions?
drain
feed
