External Nutrition

Question 1

What is succtioning for

Answer 1

To get rid of secretion in peoples mouth

Question 2

Indication for suctioning

Answer 2

Thick secretions
Weak cough
Generalized client weakness
Inability to clear secretions
gurggling

Question 3

What is PPE for suctioning

Answer 3

Mask, gloves, eyewear

Question 4

What is enteral nutrition

Answer 4

a tube that provides nutrients to the body

Question 5

Gastrointestinal tube placement

Answer 5

in the stomach

Question 6

J tube is placed

Answer 6

inserted in stomach ends in small intestine

Question 7

PG tube

Answer 7

mushroom shaped device inside the stomach, may have a short tube or a long tube extending out of the stoma

Question 8

Gastric button

Answer 8

lies flat on surface and an extension tube locks into the opening, held in place by a tater filled balloon in the abdomen

Question 9

which tubes are good for Short term feeding

Answer 9

Nasogastric or orogastric

Question 10

How are GJ tubes inserted

Answer 10

surgically

Question 11

Types if tubes

Answer 11

nasogastric, nasoduodenal, gastostomy, nasojejunal, jejosomy

Question 12

Enteral access devices

Answer 12

are feeding tubes placed directly into the GI tract to deliver nutrients as well as additional fluids and often is a method for delivering medications

Question 13

Nasal or oral tubes

Answer 13

may be placed at the bedside, with endoscopy, or surgically.

Question 14

6 types of feedings tubes

Answer 14

-nasogastric, orogastric, nasoenteric, gastomy, oreonteric, jejunomy

Question 15

how long does formula last after being opened

Answer 15

24 hours refrigerated

Question 16

percutaneous tubes include

Answer 16

gastrostomy, jejunostomy (these are inserted into the skin

Question 17

Bolus

Answer 17

used for gastric feeding given to ambulatory patients given like meals by a syringe or gravity brief infusion time

Question 18

Intermitten

Answer 18

used for gastric feeding given to ambulatory patients given at various time in a 24 hours period by gravity or pump over 20-60 mins

Question 19

Continuous feeding

Answer 19

used for patients who cannot tolerate intermittent method given continuously by pump

Question 20

where should HOB be when getting enteral nutrition

Answer 20

HOB 30-45 degrees

Question 21

How often should we change tubing

Answer 21

every 24 hours

Question 22

when to flush

Answer 22

30 mL before 4-6 hours intermittently during feeds and after

Question 23

What to document

Answer 23

input and output

Question 24

Average size of NG

Answer 24

8-18

Question 25

When would we use a large NG

Answer 25

when needing to take content out instead of in

Question 26

Indications for NG tubes

Answer 26

external feeding, decompression, compression, lavage, gastric analysis

Question 27

Decompression

Answer 27

removal of secretions and gaseous substances from GI tract to prevent or relieve abdominal distention; used in post-op ileus, intestinal obstruction, and to decrease pressure of suture lines from fluid

Question 28

compression

Answer 28

internal application of pressure by means of an inflated balloon to prevent internal bleeding

Question 29

lavage

Answer 29

irrigation of the stomach in cases of active bleeding, poisoning or gastric dilation

Question 30

Salem Sump

Answer 30

is the most commonly used NG tube

Question 31

Duotube

Answer 31

is a smaller and more flexible Salem sump NG, more comfortable

Question 32

Duotube cannot

Answer 32

decompress

Question 33

things to assess with NG tube

Answer 33

Verify physician’s order Two patient identifiers Patient’s knowledge of procedure Examine naris. Assess patency of nostrils Note history of nasal surgery, allergies, deviated septum, nosebleeds, facial trauma, etc. Determine whether the patient is on anticoagulation medication(s) Assess LOC and ability to follow instructions Perform physical assessment of abdomen

Question 34

Placement

Answer 34

X ray, PH, Monitor external lengthh and observe for fluid aspirated

Question 34

How to measure NG

Answer 34

nose, earlobe, Xiphoid

Question 35

how often do we check for placement

Answer 35

every 4-6 hours and anytime we install anything

Question 36

what is the stomachs resting Ph level

Answer 36

4-5

Question 37

how long should you wait to suction after meds

Answer 37

30-60 mins

Question 38

Possible complications that may occur

Answer 38

The feeding tube has come out of the abdominal wall. There is leakage around the tube or system. There is redness or irritation on the skin area around the tube. The feeding tube seems blocked. There is a lot of bleeding from the site of tube insertion. Diarrhea after feedings A hard, swollen belly 1 hour after the feeding Worsening abdominal pain Constipation and passing of hard, dry stools Increased coughing more than normal or shortness of breath after feedings Tube feed in the client's mouth

Question 39

Peristalsis

Answer 39

involuntary contraction and relaxation of longitudinal and circular muscles throughout the digestive tract,