Tubes Flashcards
Nasogastric/orogastric (Ng/OG) tube
Tube placed in nose or mouth to stomach
Placed by RN
Enteral feeding, gastric drainage, decompression of stomach
May be hooked up to wall suction which may limit distance pt can be away from bed
If “clamped” monitor pt for nausea or ab dissension
Put feedings on hold if laying flat - want head of bed at least 30 degrees if feeding
Dubbhoff/dobhoff
Mercury weighted tube to be passed w/ a guide wire thru nose into small intestines
Placed by MD or specifically trained RN
Long term use in pt who cannot orally ingest
Don’t pull it out
Head of the bed at least 30 degrees when in use
Put feeding on hold if pt needs to lay flat
Blue color so you can differentiate from other things
Monitor numbers on tube to ensure its staying in place
PEG/PEJ tube
Percutaneous Endoscopic Gastostomy/ Percutaneous Endoscopic Jejunostomy
Surgically placed by MD
Enteral feeding; small intestine drainage; gastric drainage
Watch gait belt placement - put ABOVE
Put feedings on hold if pt laying flat
Endotrachial tube (ET tube)
PVC tube placed in trachea via nose or mouth; placed by MD
Used to relieve airway obstruction, prevent aspiration, facilitate tracheal suction, mechanical ventilation
Should know if pt is weaning going to have to work harder to breath
Must monitor vitals - esp RR
Can use trach mask and put wash clothes over the top of it
Tracheostomy
PVC tubing placed in trachea thru and opening in the neck
Placed by MD
Mechanical ventilation, prolonged ventilator support; after laryngectomy, trach eval resection, other head/neck surgeries
If off vent (on or off trach mask) watch for pt coughing
Suction (yankauer suction)
Place where needed,
Used for suction of saliva, mucous, blood, etc
USE IT
Test tube
Surgically placed in chest between ribs by MD
Promotes normal intrapleural pressures/mechanics by
1. Removing air/fluid from pleural spaces
2 prevent re-entry of air/fluid in pleural places
3. Re-inflate a collapsed lung
DONT TIP- if cannot be removed form wall suction, can get extension tubing
If on water sear (removed from suction) can gait train further
May cause discomfort - deep breathing, coughing, laying on side of tube insertion
Urinary/foley catheter
Bladder by RN
Bladder drainage
Must be taken w/ in you PT session
Rectal tube/pouch
Rectum by RN
Rectal drainage, collect liquid stool; prevent skin breakdown secondary to runny stool
May or may not want to sit pt up secondary to discomfort and/or dislodging
Keep collection bag below level of insertion
Colostomy/ileostomy
Colon is surgically opened and brought to the abdominal surface; bag placed by RN after surgery
Bowel eliminated when colon is obstructed or not functioning; there is a need for diversion of fecal material
Watch gait/belt placements - ABOVE
May need to be emptied before/after tx
If bag comes off, notify nursing immediately
