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CNUR 103 > External Nutrition > Flashcards

External Nutrition Flashcards

1
Q

What is succtioning for

A

To get rid of secretion in peoples mouth

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2
Q

Indication for suctioning

A

Thick secretions
Weak cough
Generalized client weakness
Inability to clear secretions
gurggling

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3
Q

What is PPE for suctioning

A

Mask, gloves, eyewear

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4
Q

What is enteral nutrition

A

a tube that provides nutrients to the body

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5
Q

Gastrointestinal tube placement

A

in the stomach

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6
Q

J tube is placed

A

inserted in stomach ends in small intestine

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7
Q

PG tube

A

mushroom shaped device inside the stomach, may have a short tube or a long tube extending out of the stoma

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8
Q

Gastric button

A

lies flat on surface and an extension tube locks into the opening, held in place by a tater filled balloon in the abdomen

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9
Q

which tubes are good for Short term feeding

A

Nasogastric or orogastric

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10
Q

How are GJ tubes inserted

A

surgically

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11
Q

Types if tubes

A

nasogastric, nasoduodenal, gastostomy, nasojejunal, jejosomy

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12
Q

Enteral access devices

A

are feeding tubes placed directly into the GI tract to deliver nutrients as well as additional fluids and often is a method for delivering medications

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13
Q

Nasal or oral tubes

A

may be placed at the bedside, with endoscopy, or surgically.

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14
Q

6 types of feedings tubes

A

-nasogastric, orogastric, nasoenteric, gastomy, oreonteric, jejunomy

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15
Q

how long does formula last after being opened

A

24 hours refrigerated

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16
Q

percutaneous tubes include

A

gastrostomy, jejunostomy (these are inserted into the skin

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17
Q

Bolus

A

used for gastric feeding given to ambulatory patients given like meals by a syringe or gravity brief infusion time

18
Q

Intermitten

A

used for gastric feeding given to ambulatory patients given at various time in a 24 hours period by gravity or pump over 20-60 mins

19
Q

Continuous feeding

A

used for patients who cannot tolerate intermittent method given continuously by pump

20
Q

where should HOB be when getting enteral nutrition

A

HOB 30-45 degrees

21
Q

How often should we change tubing

A

every 24 hours

22
Q

when to flush

A

30 mL before 4-6 hours intermittently during feeds and after

23
Q

What to document

A

input and output

24
Q

Average size of NG

A

8-18

25
Q

When would we use a large NG

A

when needing to take content out instead of in

26
Q

Indications for NG tubes

A

external feeding, decompression, compression, lavage, gastric analysis

27
Q

Decompression

A

removal of secretions and gaseous substances from GI tract to prevent or relieve abdominal distention; used in post-op ileus, intestinal obstruction, and to decrease pressure of suture lines from fluid

28
Q

compression

A

internal application of pressure by means of an inflated balloon to prevent internal bleeding

29
Q

lavage

A

irrigation of the stomach in cases of active bleeding, poisoning or gastric dilation

30
Q

Salem Sump

A

is the most commonly used NG tube

31
Q

Duotube

A

is a smaller and more flexible Salem sump NG, more comfortable

32
Q

Duotube cannot

A

decompress

33
Q

things to assess with NG tube

A

Verify physician’s order
Two patient identifiers
Patient’s knowledge of procedure
Examine naris. Assess patency of nostrils
Note history of nasal surgery, allergies, deviated septum, nosebleeds, facial trauma, etc.
Determine whether the patient is on anticoagulation medication(s)
Assess LOC and ability to follow instructions
Perform physical assessment of abdomen

34
Q

Placement

A

X ray, PH, Monitor external lengthh and observe for fluid aspirated

34
Q

How to measure NG

A

nose, earlobe, Xiphoid

35
Q

how often do we check for placement

A

every 4-6 hours and anytime we install anything

36
Q

what is the stomachs resting Ph level

A

4-5

37
Q

how long should you wait to suction after meds

A

30-60 mins

38
Q

Possible complications that may occur

A

The feeding tube has come out of the abdominal wall.
There is leakage around the tube or system.
There is redness or irritation on the skin area around the tube.
The feeding tube seems blocked.
There is a lot of bleeding from the site of tube insertion.
Diarrhea after feedings
A hard, swollen belly 1 hour after the feeding
Worsening abdominal pain
Constipation and passing of hard, dry stools
Increased coughing more than normal or shortness of breath after feedings
Tube feed in the client’s mouth

39
Q

Peristalsis

A

involuntary contraction and relaxation of longitudinal and circular muscles throughout the digestive tract,

CNUR 103 (9 decks)

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