Intro Chapter 18
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| Most common type of Nasogastric tube used in stomache decompression | Single-lumen tube
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| Hypertonic solution is used | when the patient can not tolerate large amounts of fluid
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| Use of a water-soluable contrast agent such as GASTROGRAFIN for a colon exam is warranted for patients with | A possible bowel perforation
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| The administration of glucagon shortly before a double contrast BE is intented to | relieve bowel spasm
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| 2 types bed pans | Standard and fracture
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| 5 types of Enemas | Tap water (hypotonic)
Hyertonic
Saline
Soap suds
Oil retention
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| A single-contrast barium enema may be indicated in which of the following situations | When fistula are thought to be present
In children, esp. when an intussception is the be reduces
when a volvus or acute obstruction is the be evaluated when acute appenicitis or diverticulitis is thought to be preseen
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| position in which patient lies on left side with the right knee and thigh flexed and the left arm parallel anlong back | sims
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| What metal is used in some longer NG tubes to provide weight | Tungston
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| Sengstaken-Blakemore NG tube is inserted to accomplish | Control bleeding
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| Enemas are used for | Cleansing
Administering medications
Diag. purposes
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| 2 types of colostomies are | Transverse and descending
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| With a colostomy Is cleansing the bowel required before performing a barium enema | yes
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| A postural drop in blood pressure can occur after a barium enema as a result of | dehydration
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| Approximately what percentage of colostomy patients have recurrences of cancer | 10%
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| Desirable characheristics of barium suspension include | rapid flow, and good mucosal adhesion
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| Example of an NG tube that is effective when used for intestinal decompresson | Cantor
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| One advantage to NG tube with 2 Lumens is that it can be | used for continuous suction
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| NG tubes are inserted throught the patients ______ with the end placed in the _______. | nasopharnyx; stomach
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| To confirm placement of a NG tube in its proper position and physician much use | a syringe to remove gatrice contents as proof
flouroscopy or radiograph for visualization
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| Stoma | opening established in the abdominal wass by colostomy, ileostomy and so forth
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| Flatus | gas or air evacuated through anus
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| Lumen | cavity or channel with a tube or tubular organ
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| Enema | a liquid injected or to be injected into rectum
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| Fowler's position | position in which the patient's head is raised 18 to 20 inches above flat position, knees are also raised
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| Sim's position | position in which the patient lies on the left side with the kneed and thight flexed and the left are is parallel anong back
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| Colostomy | surgical creation of an opening between the colon and the surface of bady , also reffered to as opening or stoma
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| NG Tube | tube of soft rubber or plastic inserted through nostril and into the stomach, for instilling liquid food or other substances for withdrawing gastric content
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| Purgation | catharsis , relife of fecal matter affected by cathardic
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| Viscosity | physical property of liquids that determines the internal resistanc to shear forces
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| Emesis Basin | kindne-shape vessell for collection of vomitus
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| Perineum | region betwenn the thights boudn in the male by the scrotum and anus, and femal by the vulva and anus
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| A double contrast barium enema is intracated for | polyps
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| Examples of NG tube | Levin , Salem pump, and cantor
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| Evacuation of fecal material from intestine |
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| Salem-sump tube | Two lumen, It has a drainage lumen and a smaller secondary tube open to atosphere , with 2 lumen, can be for continous suction
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| Levin Tube | One lumen , plastic with several drainage holes near gastric end of tube, graduated markings on luman so you can see how far you have inserted tube into patient . Useful in instilling material into stomach or suctioning material out of stomach
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| 2 most common types NG tubes | Levin, and Salem-pump
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| Purpose for NG tubes | Decompress stomach/small bowel
Admin. meds
collect specimens
administer food
administer contrast media
control bleeding
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| Miller Abbot tube | 2 lumen Rubber balloon at end of one tip of tube other tube has hole near tip.
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| Cantor Tube | Has 1 lumen and bag on the end
Mercury is inserted into bag, and helps move the tube along the intestinal tract
Used for intestinal decompression (relief of stretching of the intestin through suction out contents
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| color of stool post barium enema | clay colored , may need to cleanse bowels
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