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Intervention Ch. 46
Nasogastic Tube ATI 54
| Question | Answer |
|---|---|
| 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
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