Chpt 28: Nutritional Support and IV therapy Flashcards
enternal nutrition
giving nutrients into the GI tract through a feeding tube
gastronomy tube
tube inserted through a surgically created opening in the stomach
regurgitation
backward flow of stomach contents into the mouth
jejunostomy tube
feeding tube inserted into a surgically created opening in the ejunum of the small intestine
gavage
process of giving a tube feeding is called
flow rate
is the number of drops/minute
aspiration
is breathing fluid, food, vomitus, or an object into the lungs
parenteral nutrition
giving nutrients through a catheter inserted into a vein
iv therapy
giving fluids through a needle or catheter inserted into a vein
ng tube
feeding tube inserted through the nose into the stomach
PEG tube
feeding tube inserted into the stomach through a small incision made through the skin
naso-enteral tube
a feeding tube inserted through the nose into the small bowel
the doc. may order nutritional support for a person who…
cant eat enough to meet his or her nutritional needs
has a prob swallowing
refuses to eat/drink
what tube is used for short-term nutritional support
naso-gastric tubes
opened formula for a tube feeding can remain at room temp. for how long
8 hours
if a person is receiving intermitternt feedings, the nurse will
give the feeding 4 or more times each day
a major risk w/ tube feedings is
aspiration
if a person is receiving a tube feeding you should report at once
s/s of respiratory distress
you can help to prevent regurgitation when a person is receiving gavage when you…
maintain Fowler’s or semi-Fowler’s position after the feeding
when a person is receiving nutrition through a tube, frequent mouth care is neeed because
it prevents discomfort from dry mouth, dry lips, and sore throat
whoch of these are never done by nursing assistants
insert a feeding tube or check it for placement
when a person is receiving TPN, the nursing assistant would assist by
providing frequent oral hygiene and other basic needs
when caring for a perosn receiving IV therpy, the nursing assistant can
tel the nruse at once if no fluid is dripping
you may change a dressing on a peripheral IV if
your state agency allows nursing assitants to perfofrm the procedure
gtt stands for
drops
gtt/min
drops per min
TPN
total parental nutrition
nasogastric and naasoenteral tubes are in place for short term nutritional support, usually for less than how long
6 weeks
gastrotomy, jejunostomy, and PEG tubes are used for long-term support, usually long than how long
6 weeks
formula is given through a feeding tube at room temp because cold fluids cause
cramping
it shows good teamwork when you warm a container of formula by placing it…
in a basin w/ warm water
coughing,sneezing, vomiting, suctioning and poor positioning can move a tube out of place and are common causes OF
ASPIRATION
what can the nursing assistant do to asist the nurse in preventing regurgitation and aspiration
- position person in flawless/semi-fowlers before feeding
- maintain, semi-fowlers after feeding
- avoid left side-lying position
what comfort measures will help a person with a feeding tube who has a dry mouth
oral hygiene every 2 hrs while awake
lubricate lip Q2 while awake
mouth rinses Q2 while awake
the nose and nostrils are cleaned every 4-8 hours because the feeding tube can…
irritate an cause pressure on the nose
if youre delegated to give a tube feeding the nurse should
check tube placement and residual stomach contents
if youre delegated to give a tube feeding, the nurse should tell you what
what feeding method to use syringe, feeding bag, or feeding pump
when delgated to give a tube feeding the nurse should tell you to position the person….
fowlers or semi-fowlers
how much flushing solution is used before giving a tube feeding to an adult
30-60mL to water
parental nutrition solution is given intravenously contains…
water, proteins, carbs, vitamins, minerals
when caring for a person receiving IV therapy what signs and symptoms of complications may occur at the IV site
bleeding blood backing up into IV tube puffiness swelling pale/reddened skin complaints/pain @above the IV site hot/cold skin near site
