Naso gastric tubes & Drainages

Question 1

types of NGTs?

Answer 1

normal: single tube
salem sump (suction)
nasojejenal (longer)

Question 2

size of NGTs for SBO?

Answer 2

16 french

Question 3

output for NGT?

Answer 3

initially: can be litres

1500-2000ml stomach per day normal
1000ml: bile
3000-3500ml: small bowel/pancreas

Question 4

faecalized fluid means what?

Answer 4

been in the small bowel for a few days, may need surgery

Question 5

watery-thin, bile fluid in NGT means?

Answer 5

been a short amount of time

Question 6

why won’t NGT drain?

Answer 6

position of tube

bag is above head

Question 7

feeding tube, NGT, how to check?

Answer 7

x-ray and CHECK the position

Question 8

gastrostomy how place?

Answer 8

through abdo wall,

endoscopic (Peg)

Question 9

gastrostomy when use, why?

Answer 9

long term feeding

Question 10

jejunostomy why?

Answer 10

if undergoing upper GI surgery who needs post-op therapy

Question 11

colonic resections based on?

Answer 11

the blood supply

Question 12

why do a left hemicolectomy?

Answer 12

cancer near splenic flexure

Question 13

Hartmann’s procedure is?

Answer 13

take away sigmoid
leave a stoma
reattach later 6/12 after inflammation decreases

Question 14

anterior resection?

Answer 14

remove part of rectum

Question 15

proctectomy is?

Answer 15

remove the whole rectum

continence is impaired

Question 16

abdomino-perineal resection for what?

Answer 16

lower rectal cancer and anal cancers

Question 17

end ileostomy, how much in the bag every day normal?

Answer 17

500-700ml per day

Question 18

high output ileostomy, keep an eye on? risk of?

Answer 18

potassium levels will drop

thicken the diet up

Question 19

loop ileostomy?

Answer 19

bring a loop, then a transverse cut and sew it to the abdo

Question 20

why loop ileostomy?

Answer 20

temporary for procedures, and you want to reverse it soon.

Question 21

loop colostomy for?

Answer 21

bowel cancer

large bowel obstruction

Question 22

ileal conduit?

Answer 22

take out piece of small intestine, plug in ureters and attach to abdo wall to bag

Question 23

NGT functions?

Answer 23

drain

feed