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Intervention Ch. 46

Nasogastic Tube ATI 54

QuestionAnswer
Length of enema for adults? 7.5-10 cm
Enema for adolescent? 7.5-10
Enema for child? 5-7.5
Enema for infant? 2.5-3.75
What are the 2 types of nasogastic tubes? small bore ad large bore
What is large bore used for? removeal of gastric secretions
What is small bore used for? med administration and enteral feedings
What is levin and salem sump tubes for? stomach decompression
Nasogastric insertion does not need? sterile technique
The NG tube sometimes causes? distention
An Ng tube is a? hollow, flexible, cylindrical device
What is decompression? removal of fases or stomach content to relieve distension, N
What are tube types for decompression? salem sump, miller abbot, levin
What are types of tubes for feeding? duo, levin, dobbhoff
What is lavage? washing out the stomach to treat overdose or ingestion of poison
What types of tubes are used to lavage? ewald, levin, and salem sump
What is compression? applied pressure using an internal balloon to prevent hemorrhage
What are types of tubes for compression? sengstaken-blakemore
What are types of enteral formulas? polymeric, modular, elemental, specialty formulas
What is polymeric formula? Milk based, blenderized foods (whole nutrient formula)
What is modular formulas? single macronutrient preparation (not nutritionally complete, add to other foods for nutrition)
What are elemental formulas? predigested nutrients, not nutritionally complete, easier digested
What are specialty formulas? created to meet specific nutritional needs (not complete, for clients with hepatic fialure, resp disease or HIV infection)
What tube is used for therapy shorter than 4 weeks? NG or NIntestinal tubes
What tube is used for therapy longer than 4 weeks and are inserted surgically? Gastrostomy and jejunostomy
Percutaneous endoscopic gastrostomy or jejunostomy are used for? therapy longer than 4 weeks and are inserted endoscopically
What should you check on formula? expiration date, temp, shake, type of feeding
Intestinal residual should be less than? 10 ml
Gastric risdual should be less than? 100 ml
What do you do when gastric residual exceeds 100 ml? withold feeding, notify provider, keep in semi fowlers, recheck in 1 hr
What kind of pt's need a NG tube? surgery, infection, trauma, peristalsis, bowel blockage
What are the sizes of NG tubes? Large bore 12 and above, and small bore
What are large bore NG tubes for? decompression
What are small bore NG tubes for? feeding and medication
What are 2 types of NG tubes? levin (holes near tip, decompression) Salem (preferred tube for decompression, blue for air)
What med's don't you give through the NG tube? ER or capsule
What can go wrong when putting in NG? aspirate, vomit, pain, putting tube in wrong place
Food provides energy for? cellular metabolism and repair, organ function, growth, and body movement
What are carbs? main source of energy
What are fats? most calorie dense, fuel reserve
What are proteins? essential for synthesis of body tissue in growth, maintenance, and repair
What are vitmains? organic substances needed for normal metabolism
What are minerals? inorganic elements essential to the body as catalysts in biochemical reactions
What is the small intestine absorb nutrients? villi and microvilli
Assess clients for malnutrition when their conditions interfere with the ability to? ingest, digest, and absorb
Not being able to taste food can lead to? sensory deprivation, hopelessness, depression
What is isolation? loss of social aspects of eating
What is a subjective global assessment? assess history, weght, and physical data
Who is at risk for nutrition? congenital anomalies, surgiacl revisions, clients receiving IVs of 5% dextrose, chronic disease, increased metabolic requirements, infants and older adults
What is dysphagia? difficulty swallowing
What causes dysphagia? strke, cerebral palsy, MS, lou gehrig disease, neuropathy
What indicates the needs for enteral tube feeding? when the client is unable to ingest food but is still able to digest and absorb nutrients
Type of feeding, type of instillation, amount, route, times and frequency need to have what? primary provider order
Placement and bowel functions must? BE VERIFIED
What are the 2 administration methods? bolus feeding or intermittent feeding, continuous-drip feeding via a pump
What do you calculate for continuous feeding? total dose, and amout/dose per hour
Created by: alicia.rennaker