GI 44

Question 1

why do we need GI intubation?

Answer 1

decompress the stomach and remove gas and fluid

lavage (flush with water or other fluids) the stomach and remove ingested toxins or other harmful materials

diagnose GI disorders, administer tube feedings, fluids, and medications

compress a bleeding site and aspirate GI contents for analysis

Question 2

lavage tubes

Levin

Gastric (salem) sump

there are also enteric tubes and feeding tubes

Answer 2

single lumen used for low intermittent suction

double blue lumen- small lumen acts as a vent, the nurse should keep the vent lumen above the client’s waist to prevent reflux of gastric contents

Question 3

how do we check tube placement?

Answer 3

chest x-ray

air injection

Question 4

gastrostomy and jejunostomy is for ________

Answer 4

long term feeding

Question 5

what is orogastric tubes commonly used for?

Answer 5

overdose patients - it is not for feedings

Question 6

cyclic feedings

Answer 6

periodic feedings givrn over a period of time with stop periods, can be 8-18 hrs dependent on patients needs

Question 7

how can we prevent bacterial growth, sludge build up or occlusion of the tube?

Answer 7

with at least 5 ml of water b/w each meds

after checking for residuals and gastric ph every 4 hrs with continues feedings

when the tube is not used, at least once daily. record this intake and make sure to give immunicompromised patient sterile saline

Question 8

replace formula or open system every______hrs

change tubing every _______hrs

check gastric residual before every feeding, if a continous feed then Q 4 hr return the aspirate to the stomach

Answer 8

Q 4-8

Q24

Question 9

aspiration pneumonia s/s and what to look for

Answer 9

restlessness

cough adv. breath sounds

blue color

pulse ox drops

stop feeding !!!!!!!!

Question 10

how do we unclog the tube?

Answer 10

aspirate first, if it doesnt help use warm water in a syringe (in & out motion)