GI tubes Flashcards
Delivery of a nutritionally complete feeding directly into the stomach, duodenum, or jejunum (4 weeks or less)
Enteral Feeding Tubes
Initial placement should be checked by:
X-Ray
Subsequent placement should be checked by:
aspirating stomach contents & measuring pH
Gastric pH should be between
1.5 & 4
Obtain xray to determine
placement PRIOR to beginning any fluids/meds
Assess what before each feeding?
gastric pH & every 4 hours for continuous feeding
Replace enteral tube every
4 weeks
If residual exceeds __ for intermittent feedings or __ hr worth of continuous feeding-stop feeding
100 mL; 2 hr
Goes right into the stomach through abdominal wall—most commonly to provide a means of feeding when oral intake is not adequate
Percutaneous Endoscopic Gastrostomy (PEG)
Assess what with PEG
skin integrity
residual volume
allow feeding to infuse slowly
Flush with what for PEG
30 mL warm water before & after feeding
IV administration of what solution?
glucose, insulin, minerals, lipids, electrolytes
Used when the patient cannot effectively use the GI tract for nutrition
IV Parenteral nutrition
Used when patient can eat but cannot take in enough nutrients to meet needs
Partial or Peripheral Parenteral Nutrition (PPN)
PPN administered through
Administered through a large distal arm vein or PICC line
