a MCPHS- Provider I- Ch 36 Gastrointestinal Intubation & Special Nutritional(TS)
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| Small intestine sections in which a GI tube will be placed | Duodenum, Jejunum
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| Peristalsis causes tube to pass from stomach to intestines in | 24 hours
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| Length added after xiphoid process r/t NG tube measurement | 6 inches for stomach placement, 8-10 inches for intestinal placement
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| Pt instruction r/t NG tube reaching nasopharynx | Lower head, Swallow as tube is advanced/Sip water through a straw
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| 3 methods to confirm placement r/t NG tube | Measure tube length, Visual assessment of aspirate, pH of aspirate
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| Gastric vs. Intestinal vs. Respiratory aspirate r/t pH | G:acidic 1-5, I:6 or higher, R:Alkaline 7+
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| Liquids that can declog tubes | Cola, Cranberry juice, Mix of pancreatic enzymes
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| Tube irrigation schedule | Every 4-6 hours to maintain patency
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| Measures to relieve discomfort r/t NG tubes | Lozenges, Gum, Sucking on hard candy, Limited talking
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| Sx r/t fluid volume deficit | Dry skin/mucous membranes, Decreased urinary output, Lethargy, Increased HR
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| Measure taken b/f NG tube is removed | Flushed w/10 mL of water/NS to ensure it is free of debris and away from gastric lining
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| Amino acids vs. CHO vs. Proteins vs. Fats vs. Electrolytes r/t Osmotic effects | AA, CHO, Electrolytes:great effect, Proteins:less effect, Fats:no effect
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| Dumping syndrome | concentrated solution w/high osmolality moves water to stomach/intestines from surrounding organs/vessels
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| Manifestations r/t Dumping syndrome | Feeling of fullness, N/V, Dehydration, Hypotension, Tachycardia
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| Intermittent bolus feeding administration | Administered to stomach, Large amounts(300-400 mL) at designated intervals
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| Continuous infustion method administration | Administered to small intestine, Decreases abd distention, gastric residuals & risk of aspiration
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| Method used to wean Pt from tube feedings to oral diet | Cyclic feeding
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| Residual gastric content measurement | Measured b/f each feeding/ Every 4-8 hours during continuous feedings
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| Overall goal r/t Tube feedings | Positive nitrogen balance & weight maintenance/gain
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| NG tube flushing indications | B/f & after medication/tube feeding, 2x daily when tube is not being used
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| Medication mixing r/t Feeding formula | They are not mixed w/each other or w/feeding formulas
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| Formula temp | Room temp, Not cold
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| Prevention methods r/t Dumping syndrome | Slow formula instillation rate, Room temp feedings, Administer continuous drip feeding
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| Upright position duration post-feeding | Maintained for at least 1 hour
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| Water administration r/t Tube feedings | During and 4-6 hours after feedings to prevent hypertonic dehydration
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