nutritional support

Question 1

what should be used when feeding a ped

Answer 1

feeding pump

Question 2

intermittent feedings

Answer 2

bolus feeling- a specific amount over specific intervals
usually over 15- 30 minutes
syringe, feeding bag, infusion pump

Question 3

continuous feedings

Answer 3

slower rate over longer period
enternal feeding pump

Question 4

complications with TPN

Answer 4

air emolism
cardiac tamponade
catheter occlusion
venous thrombosis
hyper/hypo glycemia
dehydration
electrolyte imbalance
infection at insertion site

Question 5

how to prevent TPN complication

Answer 5

monitor VS
strict aseptic tech
closed system at all time
occlusive dressing
adhere to policy for flushing cath
assess intake and output frequently
monitor blood glucose levels and lab to eval fluid and electrolytes

Question 6

verification of tube placement

Answer 6

air auscultation is no longer best practice
xray
pH of aspirate
aspirate of stomach fluid from tube
check external markings