Nursing Management of pt w/ Percutaneous Tubes

Question 1

PEG Contraindications

Answer 1

Coagulopathy or thrombocytopenia
Upper tract obstruction
Severe ascites
Hemodynamic instability
Sepsis
Intra-abdominal perforation
Peritonitis
ABD wall infection
Severe gas troparesis
Total gastrectomy

Question 2

G/J tube hypergranulation

Answer 2

2nd to poorly secured tube

Question 3

Nephrostomy Tubes

Answer 3

Through flank skin into renal pelvis

Facilitate drainage post obstruction

Question 4

Biliary Tubes

Answer 4

Through skin to bile ducts
Keep drainage bag below waist
Weekly dressing change
BID 10mL flush