Nutrition Flashcards
how often do you clean a reusable feeding system and with waht
every 24 hours with warm soap and water
how long do you keep pt at 30 degrees while enteral feeding?
during the feeding and 1 hour after
when do you flush a feeding tube?
every four hours for continuous feeding and after aspirating for gastric contents
how do you fix an enteral feeding tube occulustion
use a 60mL syringe contains 30-60 mL of warm water
comfort measures for enteral feeding tube
oral hygiene 2-4 hours
lubricate lips
local irritation with analgesic throat logenzes
have pt verbalize concerns
Hold feeding if
residual contents in 200mL on 2 successive assessments
that which structure in the gastrointestinal system absorbs the majority of digested food and mineral
small intestine
Which laboratory value would be indicative of a client’s level of malnutrition?
serum albumin
some nursing actions that prevent complications during enteral feeding
- Clean and moisten the nares every 4 to 8 hours.
- Flush the tube before and after feeding.
- Elevate the head of the bed at least 30 degrees during the feeding and for at least 1 hour afterward.
when a nurse meets resistance while irrigating a ng tube the nurse should assess the patient for
n/v, gastric fullness, stomach distention
what is the most serious complication of NG tube feeding?
Aspirating stomach contents
for contineous feeding how often should the nurse confirm placement of the tube
every 4-6 hours
angle of bed when inserting NG tube
high fowlers or at least 45*
what pH would indicate the nurse that fluid is gastric
less than 5.5
Steps for removing NG tube
1) remove tape
2) separate NG tube from suction
3) aspirate gastric content with syringe to check fro placement of tube
4) flush NG tube with 10mL of NS (or 30-50mL of air)
5) clamp ng tube with fingers
6) ask pt to take deep breath
7) pull out
8) make sure to measure ng drainage
9) offer oral hygien
which nostril do you put ng tube into
the one its easier to breath out of
steps for inserting NG tube
1) check which nostril to use
2) measure to from nose to ear and ear to xyphoid process
3) mark measurement with tape
4) lubricate the tip
5) ask pt to lift head
6) if pt hesitates ask them to put chin to chest and drink water
7) advance tube when pt breaths
8) check to make sure in stomach by aspirating a small amount of stomach content
9) tape nose
10) measure and record tube length (tip of nose to end of tube)
11) air vent should be above level of stomach
12) attach pt to suction
13) offer oral hygiene
what color should stomach content be
green with particles
brown if old blood is present
clear to straw color
how to check if NG is placed in stomach
check color
measure pH (less than 5.5)
x-ray
during continous tube feeding what angle should the hob be at during feeding?
30-45*
when irrigating an NG, the nurse does not get a return after instilling solution and reconnection the tube back to the suction. What should the nurses next step in this situation?
Instill 20mL of air into the tube and aspirate again
irrigating an NG tube
1) check placement of NG tube by aspirating
2) disconnect NG tube from suction
3) place tip of syringe in NG tube
4) aspirate
5) draw up irrigation amount
6) place syringe in NG tube
7) slowly insert solution
8) clamp tube
9) connect NG tube back to suction
10) unclamp to withdraw fluid
How should you pull out an NG tube and what do you ask the pt to do?
ask the pt take a deep breath and pull out the tube quickly and carefully
The nurse is removing an NG tube from a pt, flushes the NG tube prior to removing it. What should the nurse do next
Instill 30-50 mL of air to clear the tube
