Evaluation Of An ICU Patient

Question 1

What is the safest, most convenient way of medication administration?

Answer 1

Oral/enteral route

Question 2

What is the length of use for an NG tube?

Answer 2

Short term use

Question 3

What is the length of use for an orogastric tube?

Answer 3

Short term

Question 4

What is the length of use for a nasoenteric tube?

Answer 4

Short term use

Question 5

What is the length of use for a oroenteric tube?

Answer 5

Short term use

Question 6

What is the length of use for a gastrostomy tube?

Answer 6

Long term use

Question 7

What is the length of use for a jejunostomy tube?

Answer 7

Long term use

Question 8

What tube is easy to place and has a variety of sizes?

Answer 8

Nasogastric tube

Question 9

When are NG tubes not indicated? 3

Answer 9

1. Bleeding disorder
2. Nasal/facial fractures
3. Esophageal disorders

Question 10

What does the orogastric tube have a lower incidence of?

Answer 10

Sinusitis

Question 11

What can the orogastric tube damage?

Answer 11

Teeth

Question 12

What tube may be used in delayed gastric emptying?

Answer 12

Nasoenteric tube

Question 13

What has a large tube size that can be used for bolus feeding and administration of medications?

Answer 13

Gastrostomy tube

Question 14

What tube decreases the risk of food and fluids passing into the lungs and allows for postoperative feeding?

Answer 14

Jejunostomy tube

Question 15

What tube is the most invasive compared to the oral and nasal route?

Answer 15

Gastrostomy tube

Question 16

What tube is the most difficult to place and may need an infusion pump?

Answer 16

Jejunostomy tube

Question 17

What should a patient be able to do before switching from IV to PO?

Answer 17

Eat their regular or modified diet

Question 18

If the patient receives what, they are a candidate for IV to PO switching?

Answer 18

Other scheduled oral medications

Question 19

If a patients WBC count is _________ then they are a candidate for IV to PO switching

Answer 19

Decreasing to normal

Question 20

If a patient has a body temperature of less than _____ for a least 24-48 hours they are a candidate for IV to PO switching

Answer 20

100°F

Question 21

What should a patient’s respiratory rate be for them to be a candidate for IV to PO switching?

Answer 21

<20 breaths/min

Question 22

The act of replacing a parenteral version of a medication with its oral counterpart of the same compound

Answer 22

Sequential therapy

Question 23

Describes the conversion of an IV medication to a PO equivalent in the same class and has the same level of potency, but it’s a different compound

Answer 23

Switch therapy

Question 24

Refers to the conversion from an injectable medication to an oral agent in another class or different medication within the same class where the frequency, dose and spectrum of activity (antibiotics) may not be exactly the same

Answer 24

Step down therapy