Enteral Nutrition and Tubes Flashcards
short tubes
passed through the nose into the stomach
long tubes
passed into the intestines
nasogastric tubes
inserted through the nose into the stomach
can be used for feedings, medications, and gastric decompression
Who needs nasogastric tubes?
pts w/ unmet nutritional needs
surgical clients
ventilated clients
neuromuscular impaired pts.
What should be assessed prior to placing an NG tube?
-history of nose bleeds
-gag reflex
-prior nasal surgery
-deviated septum
-ability to swallow
How do you measure an NG tube?
start at the nose, move to the ear, and down to the xiphoid process
QHow do you check the placement of the NG tube?
-check gastric pH
-air bolus with 30 ccs of air into a syringe
-xray
How often should you flush the tube?
Q4H with water
30 ccs
NG Insertion Steps
- wash hands
- lube the tube
- insert the tube through the nostril of the throat
- Have the client flex their head toward their chest after the tube has passed through nasopharynx
- make sure to emphasize swallowing
- secure with tape
- confirm placement of the tube
- evaluate pt. response
- flush Q4H
dobhoff tube
can be used for longterm feeding and medication
suction is not used with this tube
typically done in ultrasound bc placement can only be confirmed by x-ray
nasointestinal
gastric tube
longterm, can be used for years
does not come out but the area around it should be cleaned
stays clamped except when feeding
Who needs a gastric tube?
pts with trouble chewing and swallowing as a result of neuromuscular disorders, comatose patients
enteral nutrition
administering nutrients into the GI tract
bolus feeding
usually for pt with a g tube, occurs 3-4x a day using a 50 ml syringe
continous feeding
done over a 24 hr period, typically given through a dobhoff tube or g tube
-administers small volume of formula over a longer period of time
