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TERM 4 N2260 SKILLS 4 > WEEK 12 NG TUBES > Flashcards

WEEK 12 NG TUBES Flashcards

1
Q

What are 4 uses for gastric intubation?

A
  1. Decompression
  2. Feeding/medication administration
  3. Washing out (lavage)
  4. Compression (stop bleeding)
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2
Q

What are contraindications for NG tubes?

A
  1. Esophageal varices
  2. Recent esophageal/gastric surgery
  3. Basilar skull fracture
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3
Q

What is the purpose of decompression?

A

Remove secretions from stomach to prevent distention as well as nausea/vomiting

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4
Q

What is the purpose of a single lumen (Levine) tube?

A

Drains gastric contents only

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5
Q

What is the purpose of a double lumen (Salem Sump) tube?

A

Drains gastric contents through one lumen and allows air into other lumen to prevent adherence to stomach wall

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6
Q

What is the purpose of tilting the head forward when advancing the NG tube?

A

Closes off the glottis

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7
Q

What are 4 signs that the NG tube is incorrectly placed?

A
  1. Coiling
  2. Coughing/gagging
  3. Diaphoresis
  4. Sinus pressure/headache
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8
Q

What is important to remember any time a patient with an NG tube coughs, sneezes, or vomits?

A

Reassess placement

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9
Q

When checking gastric aspirate, what pH reading is concerning for tube displacement?

A

6 or higher

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10
Q

What pH level is acceptable if patient is on antacids or H2 blockers?

A

5-6

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11
Q

Which lab values are important to monitor for patients with an NG tube?

A

Electrolytes

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12
Q

What are 4 important points to remember when administering medications to a patient with NG attached to suction?

A
  1. Check agency policy
  2. Stop suction and flush
  3. Administer meds as usual
  4. Leave suction off for 30 mins to ensure absorption
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13
Q

How should an NG tube be removed?

A

Quickly on exhalation

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14
Q

Which kinds of enteral feeding tubes are placed in Radiology?

A
  1. Nasoduodenal
  2. Nasojejunal
  3. Gastrostomy
  4. Jejunostomy
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15
Q

What kind of enteral feeding tubes are placed in OR?

A

Gastrostomy and jejunostomy

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16
Q

How long may a Salem Sump tube be used for enteral feeding?

A

0-4 weeks

17
Q

How long may an Entriflex NG tube be used for enteral feeding?

A

4-8 weeks

18
Q

What are 3 reasons we place tubes beyond the stomach?

A
  1. Gastroparesis
  2. GERD
  3. Aspiration risk (including history of aspiration/pneumonia)
19
Q

What are 2 ways Entriflex tubes differ from Salem Sump?

A
  1. Smaller: 8-12 Fr
  2. Guide wire
20
Q

What are 4 indications for enteral feeds?

A
  1. Altered LOC
  2. Delayed gastric emptying
  3. Need for additional nutritional support
  4. Mechanical swallowing deficit
21
Q

What are 4 points to remember with open feeding systems?

A
  1. Only add 4 hrs supply to bag at a time
  2. Keep the opened formula in the fridge
  3. Discard opened formula in 24 hrs
  4. Replace the bag and tubing set every 24 hrs
22
Q

After connection to tubing for feeding, how long can a closed system bag and tubing set be kept at room temperature for?

A

24-48 hrs

23
Q

What are 6 assessment findings that indicate tolerance of enteral feeds?

A
  1. Normoglycemia
  2. Normal bowel habits
  3. Normal abdominal girth
  4. Healthy weight
  5. Normal electrolytes
  6. Balanced ins/outs
24
Q

How are residural feeds assessed?

A
  1. Attach syringe to tube and withdraw until resistance
  2. Re-feed back
  3. Hold feed if more than 200 ml (or more than 10-20% of hourly rate)
  4. Re-check in 3-4 hrs
25
Q

What is the response if a PEG tube becomes dislodged?

A
  1. Stop feeds
  2. Cover, or if in an established tract, insert a foley or red rubber catheter to maintain passage
  3. Notify physician
26
Q

What is the response if there is a suspected aspiration?

A
  1. Stop feeds
  2. Give O2 as needed
  3. Suction as needed
  4. Take vital signs
  5. Call physician

TERM 4 N2260 SKILLS 4 (10 decks)

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