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Chapter 20

Nutritional Support and IV Therapy

QuestionAnswer
What is giving nutrients into the gastrointestinal (GI) tract through a feeding tube called? Enteral nutrition
What is the process of giving a tube feeding called? Gavage
A feeding tube inserted through the nose and into the stomach is called a _________ - ____________ (NG) tube. Naso-gastric
A feeding tube inserted through the nose and into the small bowel (intestines) is called a naso-____________ tube. Enteral
A feeding tube inserted into the stomach through a surgically created opening is called a _______________ tube. Gastrostomy
A feeding tube inserted through a surgically created opening into the jejunum of the small intestines is called a __________________ tube. Jejunostomy
A feeding tube inserted by the doctor using an endoscope is called a ________________ endoscopic gastrostomy tube. Percutaneous
What is the abbreviation for a percutaneous endoscopic gastrostomy tube? PEG
The _____________ orders the type of formula, the amount to give, and when to give tube feedings. Doctor
A nurse gives the ______________ through the feeding tube. Formula
Formula is given at _________ temperature. Room
Cold fluids can cause __________________. Cramping
What type of feeding is given over a 24 hour period using a feeding pump? Continuous
What type of feeding is given at scheduled times throughout the day? Intermittent
What is a major risk from tube feedings? Aspiration
Aspiration can occur during _______________ of the feeding tubes. Insertion
Aspiration can occur when a ___________ moves out of place. Tube
Coughing, sneezing, vomiting, suctioning, and poor positioning are common cause of a tube _______________ out of place. Moving
Aspiration can occur from the backwards flow of stomach contents into the mouth which is called _____________________. Regurgitation
To help prevent regurgitation and aspiration you should position the person in Fowler's or semi-Fowler's position ___________ the feeding. Before
To help prevent regurgitation and aspiration you should maintain Fowler's or semi-Fowler's position for 1-2 hours ____________ the feeding. After
To help prevent regurgitation and aspiration you should avoid the _________ side-lying position. Left
People with NG or gastrostomy tubes are at a great risk for regurgitation because these tubes empty directly into the ________________. Stomach
Person with feeding tubes are usually ___________, meaning that they cannot have anything to eat or drink. NPO
Comfort measures given to those persons with feeding tubes include oral hygiene every _______ hours while the person is awake. Two
Comfort measures given to those persons with feeding tubes include lubrication for the ___________ every two hours while the person is awake. Lips
Comfort measures given to those persons with feeding tubes include mouth ____________ every two hours while the person is awake. Rinses
Feeding tubes can irritate and cause pressure on the __________. Nose
It is common to clean the nose and nostrils every four to __________ hours. Eight
To avoid pressure ulcers on the nose it is important to ____________ the tube to the nose. Secure
To avoid pressure ulcers on the nose you should secure the tubing to the person's garment at the ___________ area. Shoulder
You never ______________ feeding tubes or check their placement. Insert
Who's responsibility is it to check feeding tube placement? RN
If you are allowed to give a tube feeding you must first make sure the nurse has identified and _______________ all other tubes, catheters, and needles. Labeled
You should normally use 30-60 mL of _______________ solution (water) when giving a tube feeding. Flushing
Before giving a tube feeding you should _____________ the tube back to the insertion site. Trace
________________ nutrition is giving nutrients through a catheter inserted into a vein. Parenteral
Parenteral nutrition is often called total parenteral nutrition (TPN) or _____________________. Hyperalimentation
TPN risks include ____________, fluid imbalances, and blood sugar imbalances. Infection
Complications of TPN include fever, chills, and other signs and symptoms of __________________. Infection
Complications of TPN include __________ pain, difficulty breathing or shortness of breath. Chest
Complications of TPN include stomach discomfort including nausea and __________________. Vomitting
Complications of TPN include signs any symptoms of __________ imbalances such as increased thirst, sweating, or trembling. Sugar
Complications of TPN include rapid __________ rate or an irregular heartbeat. Heart
Complications of TPN include ________________ or behavior changes. Confusion
Giving fluids through a needle or catheter inserted into a vein is called ________________ (IV) therapy. Intravenous
__________________ IV sites are away from the center of the body. Peripheral
The back of the ____________ and the inner forearm are common peripheral IV sites. Hand
The _______________ orders the amount of fluid to give and the amount of time to give it in. Doctor
The RN sets the _____________ for the flow rate or programs the rate into an electronic pump. Clamp
If the person is using an electronic pump and you hear an alarm sound you need to tell the ___________ at once. Nurse
To check the flow rate you need to count the number of __________ in one minutes. Drops
When checking the flow rate you need to notify the nurse at once if no _____________ is dripping. Fluid
When checking the flow rate you need to notify the nurse at once if the __________ is too fast. Rate
When checking the __________ rate you need to notify the nurse at once if the rate is too slow. Flow
Nursing assistants never ___________ or maintain IV therapy. Start
Nursing assistants do not regulate the _________ __________ or change IV bags. Flow rate
Nursing assistants never give blood or IV _______________. Medications
Your state may allow you to change _____________ at peripheral IV sites. Dressing
Your state may allow you to _______________ a peripheral IV. Discontinue
Safety measure for IV therapy include following ______________ Precautions and the Bloodborne Pathogen Standard. Standard
Safety measure for IV therapy include not moving the needle or ______________. Catheter
Safety measure for IV therapy include following the ___________ measures for restraint use. Safety
Safety measure for IV therapy include Protecting the IV bag, ___________, and needle or catheter when the person walks. Tubing
Safety measure for IV therapy include using the _____________ arm for blood pressures. Opposite
Safety measure for IV therapy include telling the nurse at once if ________________ occurs at the insertion site. Bleeding
Identify if the following is a local or systemic complication of IV therapy: bleeding Local
Identify if the following is a local or systemic complication of IV therapy: fever Systemic
Identify if the following is a local or systemic complication of IV therapy: drop in blood pressure Systemic
Identify if the following is a local or systemic complication of IV therapy: cyanosis Systemic
Identify if the following is a local or systemic complication of IV therapy: puffiness Local
Identify if the following is a local or systemic complication of IV therapy: complaint of pain at or above the IV site Local
Identify if the following is a local or systemic complication of IV therapy: pulse rate greater than 100 beats per minute Systemic
Identify if the following is a local or systemic complication of IV therapy: shortness of breath or difficulty breathing Systemic
Identify if the following is a local or systemic complication of IV therapy: hot skin near the site Local
Identify if the following is a local or systemic complication of IV therapy: decreasing or no urine output Systemic
Identify if the following is a local or systemic complication of IV therapy: chest pain Systemic
Identify if the following is a local or systemic complication of IV therapy: cold skin near the site Local
Identify if the following is a local or systemic complication of IV therapy: pale or reddened skin Local
Identify if the following is a local or systemic complication of IV therapy: irregular pulse Systemic
Identify if the following is a local or systemic complication of IV therapy: confusion of changes in mental function Systemic
Identify if the following is a local or systemic complication of IV therapy: swelling Local
Identify if the following is a local or systemic complication of IV therapy: leaking fluid Local
Identify if the following is a local or systemic complication of IV therapy: nausea Systemic
Identify if the following is a local or systemic complication of IV therapy: loss of consciousness Systemic
Created by: na3