NPO or supplemental feedings
Help!
|
|
||||
|---|---|---|---|---|---|
| Consider: (first 5) | time for oral transit, amt/freq of asp, silent asp, risk/hx of developing pneumonia, pt/family preferences, dx/severity of med condition
🗑
|
||||
| Consider (last 4) | ability to do postures/cough ability, recovery prognosis, respiratory status, alertness
🗑
|
||||
| 3 most common reasons for tube feedings: | 1. pt's inability to sustain nutrition orally, although the swallow response is safe. 2. the requirement for sufficient calories on a short term basis to overcome an acute medical problem. 3. risk of tracheal asp if pt. is allowed to eat orally
🗑
|
||||
| Nasogastric | fed through nose-pharynx-esophagus into stomach. varying sizes, larger ones interfere w swallowing. fed liquid boluses followed by water. reflux is a concern
🗑
|
||||
| Gastrostomy Tube Gtube | placed surgically through abdomen directly into stomach.
🗑
|
||||
| PEG tube | percutaneous endoscopic gastrostomy, placed w endoscope, formula passed through catheter
🗑
|
||||
| Jejunostomy Jtube | in jejunum. b/c stomach is bypassed, predigested formulas needed.
🗑
|
||||
| Fundoplication (Nissen brand) | gastric fundus (upper part) of stomach is wrapped around lower end of esophagus and stitched in place, reinforcing the closing fx of the lower esophageal sphincter. Laparoscopic procedure.
🗑
|
||||
| Nasogastric Risks | uncomfy, poor cosmoses, distend PES/UES, may promote reflux, nasal ulceration, sinusitis, delays swallow, may trigger vagal bradycardia
🗑
|
||||
| Nasogastric Benefits | easy insertion, no anesthesia, tube can be small bore & well tolerated, good short term nutrition, pt can eat w tube in place
🗑
|
||||
| Gastrostomy Risks | requires surgical placement, infection @tube site, tube may fall out, reflux if stomach fills too fast, diarrhea
🗑
|
||||
| Gastrostomy Benefits | good long-term option, out of visual sight, easy tube replacement, easily removed, pt can eat w tube in place
🗑
|
||||
| Jejunostomy Risks | requires surgical placement, cont. drip feeding, requires hospital visit if dislodged, intolerance of special formula
🗑
|
||||
| Jejunostomy Benefits | may reduce reflux, out of visual sight, good nutrition if stomach not available
🗑
|
||||
| PEG Risks | asp. during procedure, infection @ tube site, potential for reflux
🗑
|
||||
| PEG Benefits | inserted under local anesthesia, gen. well tolerated, OR time not needed
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
kaskas
Popular Speech Therapy sets