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Nursing 1 test 3 > Enteral Nutrition > Flashcards

Enteral Nutrition Flashcards

1
Q

Upper GI Tract

A

Esophagus, Stomach, Duodenum

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2
Q

Lower GI Tract

A

Most of the small intestine and the entire large intestine.

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3
Q

Who requires enteral nutrition

A
  • Swallowing disorders, certain bowel diseases, and the malnourished.
  • Functioning GI Tract
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4
Q

Open system

A

No greater than 4 hours

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5
Q

Closed system

A

24-48 hours

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6
Q

Nasogastric (NG) tube

A

Levin: small bore, single lumen
Salem Sump: large bore, double lumen
Dobhoff (nasoenteric): longer, small bore

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7
Q

Gastrostomy Tubes

A

PEG: Nutrition is delivered through to the stomach through the abdominal wall

G button or Mic-Key button: level with the skin, inserted through abdominal wall into the stomach

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8
Q

Enteral nutrition feeding schedules

A

Continuous
Gravity
Cyclic
Intermittent

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9
Q

Continuous

A

constant distribution of nutrition evenly over 24 hours

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10
Q

Gravity

A

continuous, no precise rate, maximum height of 18 inches above insertion site

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11
Q

Cyclic

A

regularly, less than 24 hours

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12
Q

Intermittent

A

regular/periodic (30-60 minutes), bolus method ( over 5-10 mins)

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13
Q

Enteral Nutrition Feeding

A

Head of Bed (HOB) should be elevated to semi-fowler’s position (30-45°)

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14
Q

Complications

A
  • Aspiration
  • Bacterial Growth
  • Diarrhea, Nausea, Vomiting
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15
Q

Nursing assessment

A
  • Abdominal Assessment

* Confirm length of tube

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16
Q

Verify tube placement

A
  • VERIFY VERIFY VERIFY
  • Gastric Residual Volume (GRV)
  • Aspirate gastric contents and observe appearance
  • Check pH of the contents using nitrazine paper
17
Q

Gastric

A

1 - 5.5 pH

18
Q

Gold standard

A

Obtain an X-RAY after initial insertion

19
Q

Subsequent feedings: More than one bedside method.

A

•Most facilities have policies in place regarding amount of residual
-Greater than 150 ml or greater than flow rate for 1 hour needs attention
•Re-instill the residual contents you aspirated back into the tube
-Depends on amount of residual & hospital policy (be familiar with hospital policy)

20
Q

Crushed meds via NG/PEG tubes

A

Dissolve powder in 20mL of water

21
Q

Giving several meds via NG/PEG tube

A

give each separately flushing with 20 to -30 mL water in between

22
Q

Prior to medication administration via enteral tube

A

Flush tube with 20 to 30 mL. of water

23
Q

ALERT

A
  • A: Aseptic technique
  • L: Label enteral equipment
  • E: Elevate the head of bead
  • R: Right patient, Right formula, Right tube
  • T: Trace all lines back to patient
24
Q

Troubleshooting

A
  • Prevention to maintain tube.

* Unless directed by healthcare professional do not use acidic solutions. Ex. Coca Cola

25
Q

feedings. The nurse knows to do which of the following when administering medications via an NG tube?

A

Administer each medication separately.

Nursing 1 test 3 (2 decks)

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