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Med Procedures - Quiz 4 > NG Tubes > Flashcards

NG Tubes Flashcards

1
Q

Indications for NG tube

A
  • Lavage, irrigation or dilution of gastric contents (e.g. overdose)
  • Gastric decompression for small bowel obstruction
  • Feeding
  • Sampling of gastric contents
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2
Q

Absolute contraindications for NG intubation

A
  • Suspected basilar skull fracture

- Obstruction of nasal passages (from acute or old trauma)

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3
Q

Relative contraindications for NG intubation

A
  • Maxillofacial fractures

- Hemophiliacs

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4
Q

Is NG intubation sterile or not and why?

A

NOT sterile - going through nose and mouth (bacteria present)

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5
Q

What position should a patient be in for NG intubation?

A

Sitting

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6
Q

How are nasal passages examined prior to NG tube insertion?

A

Examine for obstructions, select most patent side

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7
Q

How to estimate distance from nasal opening to stomach for NG tube insertion

A

Place tube near patient from tip of nose to tragus then from tragus to stomach (note nearest black line on tube)

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8
Q

When should patient be given water to facilitate NG tube insertion?

A

When patient feels tube in posterior pharynx

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9
Q

How to test NG tube position after placement?

A

Fill 50-60 cc syringe with air, listen over stomach with stethoscope for gurgling noise

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10
Q

Why shouldn’t H2O be used to test NG tube position?

A

If the NG tube is in the lungs, you will cause aspiration/PNA!

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11
Q

NG tube should NOT be taped where?

A

Do NOT tape tube directly to nasal alae (may create undo pressure and possible injury)

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12
Q

Where should the distal end of the NG tube be secured?

A

To patient’s gown with safety pin (to reduce risk of tube catching something and being dislodged)

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13
Q

Indications for Foley catheter

A
  • Monitor urinary output
  • Bladder decompression (e.g. BPH obstruction, prior to abd surgery)
  • Specimen for culture
  • Tx of bladder injuries, tamponade, instillation of BCG for bladder cancer
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14
Q

Foley contraindications

A
  • Suspected urethral disruption (pelvic fx esp from crush injury)
  • Difficulty encountered when trying to pass catheter
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15
Q

Is Foley catheterization a sterile procedure?

A

YES to avoid causing a UTI

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16
Q

Size of Foley catheter

A

16 Fr for females

16-18 Fr for males

17
Q

Standard type of Foley catheter

A

2 way

18
Q

What is a 3 way Foley used for?

A

Irrigation (clots, s/p TURP, etc)

19
Q

When should urine be visible in Foley placed in a female?

A

Once Foley is advanced about 4 inches (10 cm)

20
Q

Where should a Foley be secured after placement?

A

Tape to medial thigh (limit any undue pressure to meatus)

21
Q

Complications of Foley catheterization

A
  • False passage
  • UTI (MC complication)
  • Obstruction of urine flow
  • Leakage around catheter
  • Hematuria
22
Q

What is important to tell a patient before placing an NG tube?

A
  • Importance of swallowing

- Pt will feel tube in their throat

23
Q

Equipment for an NG tube placement

A
  • NG tube (16-18 Fr)
  • Anesthetic spray/gel
  • Lubricant gel
  • 50-60 cc syringe
  • Tape
  • Stethoscope
  • Suction apparatus
  • Cup of H2O/straw
  • H2O for irrigation
  • Emesis basin
24
Q

What should you be prepared for if patient is unconscious for NG tube placement?

A

Be prepared to suction vomitus

25
Q

Which side of the nose should the NG tube be placed?

A

Most patent side (look for any obstruction)

26
Q

When should an NG tube patient be directed to swallow?

A

When pt feels tube in posterior pharynx

27
Q

How can epistaxis be controlled with NG tube placement?

A

Ephedrine (Afrin) nasal drops

28
Q

What conditions can a Foley be used for treatment?

A
  • Bladder injuries
  • Tamponade for hemostasis
  • Instillation of BCG for bladder cancer
29
Q

MC complication of indwelling Foley catheter

A

UTI

Med Procedures - Quiz 4 (4 decks)

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