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Nursing 135 > Nutrition Tube Feeding > Flashcards

Nutrition Tube Feeding Flashcards

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1
Q

Any form of nutrition delivered to GI tract orally or by tube.

A

Enteral Nutrition

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2
Q

True or False: Can tube feedings be supplemented to general diet or replace oral intake

A

True. Tube feeding can be a meal replacement

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3
Q

What ways do enteral feeding differ from one another?

A

Osmolarity, digestibility, calories, viscosity, fat content, fiber content and expense

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4
Q

True or False: Can tube feeding contain predigested proteins.

A

True

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5
Q

What is the percentage in terms of protein, CHO, Fat for tube feeding?

A

16% protein 54% CHO 30% Fat

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6
Q

True or False: Do you have to have an intact GI tract to have tube feeding performed?

A

True. GI tract must be intact. May have a colostomy bag

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7
Q

What are reasons for getting a Enteral Nutrition?

A

Inability to ingest foods,
Upper GI is impaired or movement of food to small intestine is disrupted
Inability to meet nutritional needs
Inability to ingest enough calories to meet increased metabolic needs
Inability to digest or absorb food

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8
Q

What would be reasons for inability to ingest food?

A

Oral Cancer, trauma, unconscious, impaired swallowing

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9
Q

What would be a reason to get enteral nutrition got a person who has the inability to digest or absorb food?

A

Biliary disease, ulceration colitis

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10
Q

What are different formulas for Tube feedings?

A 
Blenderized
Milk Based
Lactose Free
Complete Formulas with predigested nutrients
Special; renal & Hapatic
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11
Q

What length is considered short term nutritional support?

A

Less than four weeks

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12
Q

What are the disadvantages to short term nutritional support?

A 
Risk for aspiration
Can not sit up during feedings
Dysfunctional gag reflex
Gastric stasis
GERD
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13
Q

True or False: Nasoenteric Tubes or Nasogastric has multiple lumen?

A

False. They have one lumen of various sizes ranging from 8-10 French for Adults.

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14
Q

What 2 most common feeding tubes devices require a guide wire for insertion

A

Dobhoff and Keofeed II

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15
Q

What prevents the tube from retracting up the esophagus?

A

Tungsten weighted tip

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16
Q

What is the insertion point for Nasogastric insertion

A

Inserted through the nostrils

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17
Q

What is the order by way which the nasogastric feeding tube is inserted?

A

nostrils, nasopharynx, stomach

18
Q

Ture or False: Must you have an intact gag and cough reflex prior to insertion of nasogastric tube?

A

True

19
Q

True or False: Nasojejunal tube or shorter than the nasogastric tube?

A

False. Nasojejunal tube is longer, because it bypasses the stomach and enters the small intestinal.

20
Q

How long does it take for the nasojejunal tube to pass from the stomach to the intestines?

A

24 hours

21
Q

Is the nasogastric tube longer or shorter than a nasojejunal tube?

A

Nasojejunal tube is longer

22
Q

Where is the nasojejunal tube inserted?

A

Into the small intestine

23
Q

True or False: Could nasojejunal tube be used for patients with high risk for aspiration?

A

True

24
Q

What us considered long term for jejunostomy tube?

A

6-8 weeks

25
Q

What is the difference between a G tube and J Tube?

A

G Tube = Gastrostomy in the the stomach

J Tube = Jejunostomy into the small intestine

26
Q

PEG stands for what?

A

Percutaneous Endoscopic Gastrostomy

27
Q

What is a PEJ?

A

Percutaneous endoscopic jejunostomy

28
Q

Where is the PEJ tube passed through?

A

Tube can be passed through either the jejunum or duodenum

29
Q

True or False: Should tubing be marked while placing the PEJ?

A

True. Tubing should be marked because it may migrate back into the stomach

30
Q

A device that is skin level, immersible in water, and can be hidden with clothing?

A

Low Profile Gastrostomy tube

31
Q

What are the advantages of tube feeding?

A

Provides nutrition when oral feeding is not possible
GI integrity is preserved
Intestinal and hepatic metabolism preserved
fat metabolism and lipoprotein synthesis maintain
insulin/glucagon maintained

32
Q

How often should you check placement for a patient on a PEJ?

A

Before each feeding
Before administration of medication
If continuous feeding q4-8
when not used usually q shift

33
Q

How much should you flush tubing with air?

A

10-20 ml of air

34
Q

True or False: Does Gastric pH change with feedings and medication being administered?

A

True

35
Q

When you are checking for gastric residual. What are you evaluating for?

A

Absorption of feeding

36
Q

What is considered a high gastric residual?

A

200-250ml

37
Q

How often is Enteral tube feeding given?

A

Feeding is given over the course of 24 hours

38
Q

What is the preferred position during enteral feeding?

A

Sitting upright in fowlers position at least 30 degrees, or slightly elevated right lateral side lying position

39
Q

How long should the patient sit upright in the position for? after feeding?

A

Minimum 1 hour

40
Q

When should feedings be stopped/paused?

A

Repositioning, respiratory therapy (CPT, suctioning)

41
Q

When flushing tubing with water, how often should it be flushed and what how much water?

A

Flushing should be before and after feedings with 60ml of tap or sterile water to prevent clogging

42
Q

How often should the feeding formula container be changed?

A

q 24 hours

Nursing 135 (8 decks)

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