Ati Flashcards

1
Q

What are some purposes for a nasogastric intubation

A
Gastric decompression 
Remove gas or fluid 
Treat obstruction 
Aspirate for analysis 
Administer contrast media
Administer feeding or meds 
Lavage ingested toxins
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2
Q

Why would you use gastric decompression

A

To remove stomach contents in a obstruction
Bowel or stomach surgery

Prevents nausea vomiting and pain

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3
Q

Why would you do a gastric lavage

A

To irrigate stomach to aspirate medication toxicity or to add activated charcoal

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4
Q

Orogastric tubes

A

Ewald tube
Large bore tube 12-18 French
Big to remove contents
Primarily in emergency and icu

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5
Q

When is a nasogastric tube contradicted

A

Recent head trauma
Septum
Nasal polyps
Esophageal varacises

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6
Q

How often do you check the suction gage for ng suction

A

Every 2 hours

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7
Q

Another term for gastric lavage

A

Gastric decontamination

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8
Q

When would you use gastric decontamination

A

Poison
High aspiration risk hydrocarbon
Corrosive substance (acidic or alkaline)

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9
Q

Why do you not flush stomach with water

A

Can cause hyponatremea

Water intoxication

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10
Q

Proper steps for removing a tube

A
Gloves 
Remove suction 
Add air or 10ml NS to clear line 
Remove anchor 
Have patient take a big breathe and hold it 
Pinch tube and remove
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