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Tubes
Orogastric and Nasogastric Tubes - VTT 226
| Question | Answer |
|---|---|
| Intubation | Insertion of a tube into a hallow body canal. |
| Gavage | Introduction of material into the stomach. |
| Lavage | To irrigate, wash out or rinse. |
| Orogastric | Via mouth to the stomach. |
| Oroesophageal | Via mouth to the caudal esophagus. |
| Activated charcoal or barium administration. | Orogastric Tube |
| Gastric lavage for toxin ingestion. | Orogastric Tube |
| Feed orphaned or weak neonates that are unable to nurse. | Orogastric Tube |
| Can rapidly deliver high quantities of food. | Orogastric Tube |
| Orogastric Tube measurement | Canine- Nares to the last rib Feline- Nares to the 10/11th rib |
| Tube good for 3-14 days of feeding. Prone to blocking. | Nasogastric Tube |
| Tube for anorexic animals. | Nasogastric Tube |
| Tube used for Megaesophagus. | Nasogastric Tube |
| Tube used for continuous aspiration of stomach contents in persistent vomiting cases. | Nasogastric Tube |
| The 4 types of feeding tubes. | Argyle, Guide Wire, Silicon, Red Rubber |
| Nasogastric Tube measurement | 9th-10th rib |
| Nasoesophageal Tube measurement | 7th-8th intercostal space |
| What numbing agent do we use in the nasal cavity for tubes? | 1-2 gtt of 2% proparacaine |
| How to confirm placement of Nasal tubes. | With empty syringe, aspirate for negative pressure. Inject 3-5mL of sterile saline to elicit a cough. Check with radiograph. |
| How to confirm placement of Oral tubes. | With empty syringe, aspirate for negative pressure, not air. Inject 3-5mL of sterile saline to elicit a cough. |
| Tubes used for long term assisted feeding (more than 14 days), surgery, IBD, trauma, and pancreatitis. | Surgically placed tubes |
| -ostomy | Surgically creating a hole. |
| -otomy | Surgical incision. |
| Tube placed in esophagus around the mid cervical area. | Esophagostomy Tube |
| This tube is rarely used. Has potential for severe complications. Not recommended in patients that are vomiting or with respiratory disease. | Pharyngostomy Tube |
| This tube placement is a very painful procedure and is very painful post-op. | Thoracotomy Tube |
| What supplies do you need for a Thoracic Tube placement? | Thoracic tube, supplies to clip & prep, 3-way stop cock, minor surgical pack, forceps, suture, bandaging materials. |
| Helps stimulate pet to eat, usually works best on cats. | Diazepam (Valium) |
| How to calculate R.E.R. | 30 x kg + 70 = R.E.R. |