Tube Feeding

Question 1

underweight BMI

Answer 1

<18.5

Question 2

normal BMI

Answer 2

18.5 - 24.9

Question 3

overweight BMI

Answer 3

25 - 29.9

Question 4

obese class 1 BMI

Answer 4

30 - 34.9

Question 5

obese class 2 BMI

Answer 5

35 - 39.9

Question 6

extreme obesity BMI

Answer 6

40+

Question 7

what does alcohol use inhibit

Answer 7

vitamin B absorption
B12 deficiency

Question 8

transferrin

Answer 8

iron

Question 9

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

Answer 9

kidney
-protein metabolism
dehydration
malnutrition

Question 10

NPO

Answer 10

nothing by mouth

Question 11

clear liquids

Answer 11

transparent
-soda
-water
-juice
-room temp jello

Question 12

full liquid

Answer 12

soup

Question 13

what pt needs fluid restriction

Answer 13

renal
cardiac

Question 14

free water

Answer 14

need more water

Question 15

what are the common supplements

Answer 15

protein
potassium

Question 16

why might we have an NG tube

Answer 16

aspiration
need more nutrients

Question 17

LIS

Answer 17

low intermittent suction
*to avoid damaging mucosa

Question 18

what is an airport

Answer 18

safety device
*blue

Question 19

gold standard for checking tubes

Answer 19

X-ray

Question 20

kofeed is for

Answer 20

long term
smaller
easier to plug

Question 21

PEG tube

Answer 21

tube straight into stomach

Question 22

do we aspirate J tubes or GJ tubes

Answer 22

no
creates pressure in jejunum

Question 23

bolus

Answer 23

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

Question 24

gravity in tube feeds

Answer 24

holding feed above body and letting gravity work
*no push

Question 25

what happens when tube feed isn't tolerated

Answer 25

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

Question 26

residual

Answer 26

pull back before starting feed to see volume

Question 27

how to test patency of tube

Answer 27

flush

Question 28

HOB

Answer 28

45-60

Question 29

what do we put in nose (for breakdown prevention)

Answer 29

water soluble ointment

Question 30

how to promote pt safety

Answer 30

flush and turn off before putting HOB down

Question 31

when to flush

Answer 31

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

Question 32

what syringe for flushing

Answer 32

30 mL

Question 33

what to flush with

Answer 33

30 mL warm sterile water

Question 34

how to unclog occluded tube

Answer 34

activated pancreatic enzymes

Question 35

why not to use a syringe less than 30 mL

Answer 35

pressure too large can pop tubing

Question 36

how to activate pancreatic enzymes

Answer 36

sodium bicarb

Question 37

how to give meds through tube

Answer 37

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

Question 38

how to give liquid meds

Answer 38

dilute in sterile water

Question 39

what meds do you NOT crush

Answer 39

XL SR CR enteric coated

Question 40

how often do you check residuals

Answer 40

every 4 hours

Question 41

serum albumin level

Answer 41

<3.5

Question 42

pre albumin level

Answer 42

15 - 35