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NRSG 202 > Seminar 5 Enteral feeding > Flashcards

Seminar 5 Enteral feeding Flashcards

1
Q

what is the definition of enteral nutrition

A

the administration of nutrients into the GI tract

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2
Q

what is one blood test result that would be elevated during malnutrition

A

usually liver enzymes will be increased (since the liver is being damaged)

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3
Q

what is the definition of parenteral feeding

A

administrating nutrients via an IV through a central vein

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4
Q

what are two contraindications for enteral feeding

A

-if the patient doesn’t have a gag reflex (because they have to be able to protect their airway
-if they can not elevate the head of their bed

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5
Q

how must an enteral feed be administered to prevent refeeding syndrome

A

Feeds should be started slow and electrolytes should be monitored carefully

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6
Q

how long after a feed is stopped should you keep the head of the bed elevated

A

keep the head of the bed elevated for at least 1 hour

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7
Q

what 3 factors increase the risk of aspiration for a person with a feeding tube

A

-HOB less than 30 degrees
-Age over 60
-Delayed gastric emptying

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8
Q

what would be an immediate treatment for aspiration

A

stop feed
lower head of bed
lay client on left side (to prevent further seepage of formula into lungs)

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9
Q

what is an example of a har bore/large bore NG tube

A

salem sump tube

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10
Q

is a salem sump a single or double lumen NG tube

A

it is a double lumen NG tube

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11
Q

what is an example of a soft bore NG tube

A

Levin NG tube

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12
Q

what kind of NG tubes have a stylet and what is it

A

Small bore feeding tubes have a stylet which is a metal wire that keeps the tube rigid during insertion

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13
Q

how often do small bore feeding tubes need to be changed

A

need to be changed monthly

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14
Q

what kind of feeding tube would be used for short term feeds

A

Nasogastric tube

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15
Q

What is the timeframe of a short term feed

A

less than 4-6 weeks

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16
Q

when would a nasoduodenal or nasojejunal tube be indicated

A

if the client is at a high risk for aspiration

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17
Q

what types of feeding tubes would be used for longer term feeds

A

Gastrostomy or jejunostomy tubes

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18
Q

what amount of time qualifies as a long term feed

A

if the patient will require feeding for more than 6-8 weeks

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19
Q

what is the difference between a G tube and a PEG tube

A

a G tube is placed laparoscopically and a PEG tube is placed with an endoscope
-PEG tube also has a smaller incision

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20
Q

What does PEG tube stand for

A

Percutaneous Endoscopic Gastrostomy Tube

21
Q

how long after insertion of a gastric or jejunal tube do you have to wait to check the balloon volume

A

check balloon volume after 4 weeks

22
Q

4 weeks after the insertion of a G tube or J tube how often do you have to check balloon volume

A

after 4 weeks check the balloon volume weekly

23
Q

what kind of syringe do you use while checking the volume of a balloon on a G or J tube

A

use a slip tip syringe not a leur lock because it avoid damage

24
Q

If a feeding tube was accidently pulled out what would you do

A

DO NOT try to reinsert and call MRP

25
Q

what type of feeding system is initially used when a client can not tolerate a bollus feed

A

closed/continuous drip system

26
Q

how long is the hang time for a continuous feed bag

A

up to 48 hours if sterile technique was used

27
Q

how often does the bag and the tubing need to be replaced in a continuous feeding system

A

every 48 hours

28
Q

how many mL is usually given in a bolus feed

A

usually 300-500 mL

29
Q

how long are bolus feed usually administered for

A

usually administered over 30 min

30
Q

what do all feeding systems need to be labeled with

A

Client info
Date
Nurses initials
type of formula
rate
strength
amount

31
Q

what is the hang time on a tetra pack

A

8 hours

32
Q

what is the hangtime for reconstructed powder formula

A

4 hours

33
Q

how often does the bag and tubing need to be replaced in an open system feed

A

every 24 hours

34
Q

how often do attachments like stopcocks or valves need to be replaced on feeding systems

A

weekly

35
Q

What three things are required prior to initiating a feed

A

-doctors orders
-X ray confirming tube placement
-documentation in the clients chart from the MRP confirming the tubes placement

36
Q

what is total free water requirement

A

amount of fluid a client needs in a 24 hour period to sustain life

37
Q

if someone was not at risk for refeeding syndrome what rate would their feed be started at

A

25 mL/h for 8 hours than can start to increase

38
Q

if someone was at risk for refeeding syndrome what rate would their feed be started at

A

25 mL/h for 24 hours than it could be increased

39
Q

if someone was not at risk for refeeding syndrome how much could you increase their feed by after 8 hours

A

can increase by 50 mL/h until desired rate is reached

40
Q

what is the most accurate way to confirm the placement of a NG tube

A

chest X ray

41
Q

if a pt was on a continuous feed how often do you flush and with how much water

A

flush every 4 hours with 50 mL of water

42
Q

how often do you flush a feeding tube if it is not in use

A

flush twice a day when not in use

43
Q

when would you flush the tube with sterile water instead of just tap water

A

if the client is immunocompromised

44
Q

how much water do you flush with before medication administration

A

flush with 30 mL

45
Q

how much water do you flush with after a medication administration

A

30 mL

46
Q

how often do you rotate a gastrostomy tube

A

daily

47
Q

what type of tube should never be rotated

A

J-tubes since it increases the risk for twisting and maybe blockage

48
Q

how much water do you flush with between medication administrations

A

15 mL

NRSG 202 (10 decks)

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