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Fundamentals NUR 220 > Tube Feeding > Flashcards

Tube Feeding Flashcards

1
Q

underweight BMI

A

<18.5

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2
Q

normal BMI

A

18.5 - 24.9

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3
Q

overweight BMI

A

25 - 29.9

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4
Q

obese class 1 BMI

A

30 - 34.9

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5
Q

obese class 2 BMI

A

35 - 39.9

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6
Q

extreme obesity BMI

A

40+

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7
Q

what does alcohol use inhibit

A

vitamin B absorption
B12 deficiency

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8
Q

transferrin

A

iron

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9
Q

what does 24 hour urine, BUN, and creatinine tell us

A

kidney
-protein metabolism
dehydration
malnutrition

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10
Q

NPO

A

nothing by mouth

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11
Q

clear liquids

A

transparent
-soda
-water
-juice
-room temp jello

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12
Q

full liquid

A

soup

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13
Q

what pt needs fluid restriction

A

renal
cardiac

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14
Q

free water

A

need more water

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15
Q

what are the common supplements

A

protein
potassium

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16
Q

why might we have an NG tube

A

aspiration
need more nutrients

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17
Q

LIS

A

low intermittent suction
*to avoid damaging mucosa

18
Q

what is an airport

A

safety device
*blue

19
Q

gold standard for checking tubes

A

X-ray

20
Q

kofeed is for

A

long term
smaller
easier to plug

21
Q

PEG tube

A

tube straight into stomach

22
Q

do we aspirate J tubes or GJ tubes

A

no
creates pressure in jejunum

23
Q

bolus

A

large amount at once
*mimics a meal
*use plunger to push quickly

24
Q

gravity in tube feeds

A

holding feed above body and letting gravity work
*no push

25
Q

what happens when tube feed isn’t tolerated

A

diarrhea
cramping
gas
pain
bloating
N/V
more residual than feeding

26
Q

residual

A

pull back before starting feed to see volume

27
Q

how to test patency of tube

A

flush

28
Q

HOB

A

45-60

29
Q

what do we put in nose (for breakdown prevention)

A

water soluble ointment

30
Q

how to promote pt safety

A

flush and turn off before putting HOB down

31
Q

when to flush

A

-Q4: automatic on feeder
-before, between, after meals
-before and after bolus
-before and after checking gastric residuals

32
Q

what syringe for flushing

A

30 mL

33
Q

what to flush with

A

30 mL warm sterile water

34
Q

how to unclog occluded tube

A

activated pancreatic enzymes

35
Q

why not to use a syringe less than 30 mL

A

pressure too large can pop tubing

36
Q

how to activate pancreatic enzymes

A

sodium bicarb

37
Q

how to give meds through tube

A

grind into powder one at a time and mix with sterile water

38
Q

how to give liquid meds

A

dilute in sterile water

39
Q

what meds do you NOT crush

A

XL
SR
CR
enteric coated

40
Q

how often do you check residuals

A

every 4 hours

41
Q

serum albumin level

A

<3.5

42
Q

pre albumin level

A

15 - 35

Fundamentals NUR 220 (21 decks)

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