Evaluation Of An ICU Patient Flashcards
What is the safest, most convenient way of medication administration?
Oral/enteral route
What is the length of use for an NG tube?
Short term use
What is the length of use for an orogastric tube?
Short term
What is the length of use for a nasoenteric tube?
Short term use
What is the length of use for a oroenteric tube?
Short term use
What is the length of use for a gastrostomy tube?
Long term use
What is the length of use for a jejunostomy tube?
Long term use
What tube is easy to place and has a variety of sizes?
Nasogastric tube
When are NG tubes not indicated? 3
- Bleeding disorder
- Nasal/facial fractures
- Esophageal disorders
What does the orogastric tube have a lower incidence of?
Sinusitis
What can the orogastric tube damage?
Teeth
What tube may be used in delayed gastric emptying?
Nasoenteric tube
What has a large tube size that can be used for bolus feeding and administration of medications?
Gastrostomy tube
What tube decreases the risk of food and fluids passing into the lungs and allows for postoperative feeding?
Jejunostomy tube
What tube is the most invasive compared to the oral and nasal route?
Gastrostomy tube
What tube is the most difficult to place and may need an infusion pump?
Jejunostomy tube
What should a patient be able to do before switching from IV to PO?
Eat their regular or modified diet
If the patient receives what, they are a candidate for IV to PO switching?
Other scheduled oral medications
If a patients WBC count is _________ then they are a candidate for IV to PO switching
Decreasing to normal
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
100°F
What should a patient’s respiratory rate be for them to be a candidate for IV to PO switching?
<20 breaths/min
The act of replacing a parenteral version of a medication with its oral counterpart of the same compound
Sequential therapy
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
Switch therapy
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
Step down therapy
