Exam 5 Enteral Nutrition

Question 1

Types of tubes

Answer 1

NG tube
PEG tube
Button

Question 2

Where does the NG tube go through=?

Answer 2

Goes into the nose and down into the stomach

Question 3

Closed system

Answer 3

Most of the time hospitals will have this one
Bag of nutrition that comes to you straight from the pharmacy it is already made. We do not have to mix the solution at all

Question 4

Open system

Answer 4

Actually have to open the bag and pour can of food in the bag

Usually in long term care centers

Question 5

Types of infusions

Answer 5

Continuous
Cyclic
Intermittent
Bolus

Question 6

Continuous nutrition

Answer 6

Administered over a 24 hour periods using an enteral pump
Initial dose full strength at a slow rate
Rate increased every 8 to 12 hours until goal reached
HOB up 30 degrees at ALL times

This person is always getting nutrition

Question 7

Cyclic nutrition

Answer 7

Continuous feeding administered in lesss than 24 hours
Often at night
Patient may eat during the day
HOB remains at least 30 degrees
Flush with 30 ml of sterile water when finished

Esophageal cancer- this person can only have soft foods which is not going to be all the nutrition they need so they have a feeding at night

Question 8

Intermittent when do you flush?

Answer 8

If you have a feeling there is something wrong
When you disconnect
When it’s cyclic, intermittent, or bolus you flush with 30 ml

Question 9

Intermittent nutrition

Answer 9

Feedings usually begin full strength at a specified volume (mL/)kg
5-8 feedings per day
Usually administered over at least 30 minutes via enteric pump or syringe
Goal is to provide needed calories and volume in 4 to 6 feedings a day
Keep HOB up at least one hour after each feeding

Taking nutrition like they are taking a meal **

Question 10

Bolus nutrition

Answer 10

A syringe is used to deliver the formula into the stomach by gravity
Raising or lowering syringe regulated flow

Delivered more rapidly than intermittent feeding
Keeping HOB 30 degree for at least 1 hr
Flush w/ 30 ml of sterile water

Only one given with a syringe!!!

Usually given in the nicu to give the baby breast milk

Question 11

During a bolus feeding when you keep up the bag what does it allow the flow to do?

Answer 11

Go fast

Question 12

What happens when you lower it?

Answer 12

It goes slow

Question 13

Do you flush during continuous?

Answer 13

Yes Ubuntu there isn’t a time when you disconnect

Question 14

What is very important to do when giving anything where tubing is involved?

Answer 14

Label the tubing

Question 15

What do you label the tubing with ?

Answer 15

Initials time and date

Question 16

What does priming your tubing mean?

Answer 16

Open up the bag to allow fluid to go down to the tubing. If you do not do this all the air that is in the tubing all the air will go into the patient and they will be uncomfortable

Question 17

What are people who receive enteral nutrition at high risk for

Answer 17

Diarrhea
Nausea/ vomiting
Gas/bloating/cramping
Constipation
Dehydration
Hyperglycemia
Aspiration

Question 18

Why is diarrhea possible?

Answer 18

Because the liquid is going into the stomach so they don’t have enough time to digest

Question 19

Why is hyperglycemia possible?

Answer 19

They don’t have time to break the sugars down so it is important to always check

Question 20

What is important to do to avoid aspiration?

Answer 20

We have to make sure the HOB is at least 30 degrees

Question 21

Signs and symptoms of aspiration

Answer 21

Cough (listen to cough to make sure they aren’t aspirating)
Shortness of breath
Gurgling
Raspy voice

Question 22

What should you do if aspiration is suspected?

Answer 22

Stop the feeding
Make sure the bed is elevated
Turn patient on their right side
Notify the physician
Check placement with order