GIT - NG Tubes Flashcards
1
Q
Reasons for tube feeding
A
- person unable to meet metabolic needs by oral ingestion
- anorexia
- unconcious
- following head and or neck surgery, trauma, burns
- malignant lesion (cancer of the throat)
2
Q
Tube Positions
A
- nasogastric - through nose into stomach
- gastrotomy tube - directly into stomach
- jejunostomy tube - into the jejunum
3
Q
NG Tube Feeding - Rationale
A
- decompression of stomach
- short term enteral feeding
- medication administration
- oral rehydration
- gastric lavage
- analysis of gastric contents
4
Q
Tube Feeding - Safety
A
- prior to feeds, check position of tube
- measure from nose to end of tubing
- check pH of stomach contents
- avoid feeds that are too cold
- avoid giving too fast
- ^^ can lead to “dumping syndrome” (when food skips stomach, dumps into duodenum)
- semi fowlers position (above 45 degrees)
- check dietitian orders
- FBC
5
Q
NG Tube - Procedure
A
- measure tube - from earlobe to tip of nose to xiphoid sternum
- lubricate tube
- gloves
- insert gently
- push up towards back of nose
- if able, get the patient to drink / swallow as the tube goes down the back of the throat
- once in stomach, secure with tape
- test for position
6
Q
NG Tube - Positioning
A
- x-ray
- test stomach contents with litmus paper
- take measurement from tip of nose to end of tube, record measurement
7
Q
Tube Feeding - Complications
A
- diarrhoea
- nausea & vomiting
- dumping syndrome
- bloating
- fluid & electrolyte imbalances
- aspiration pneumonia (sit up more than 45 degrees during feeds)
- constipation
- excoriation of nares
- tube obstruction