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NURS 327 Medical Surgical Nursing > NG tubes and feeding > Flashcards

Flashcards in NG tubes and feeding Deck (57)
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1

When administering a tube feeding, we should position the patient with the head of bed elevated at least ......

30-45 degrees.
This minimizes the possibility of aspiration into the trachea

2

When removing a NG tube, we should ask the patient to do what?

Hold his or her breath as the tube is removed to prevent aspiration of any secretions or fluid left in the tube as it is removed

3

When removing the NG tube, what should we do with the tube ?

After unpinning tube from patients gown and removing adhesive tape on nose, clamp tube with fingers by doubling tube on itself

4

After removing the NG tube, what do we do ?

Offer mouth care to the patient and facial tissue to blow the nose

Measure and record the amount of nasogastric drainage in the collection device

5

examples of gastrointestinal tubes

Nasogastric, nasointestinal, percutaneous endoscopic gastronomy (PEG tube), jejunostomy (J tube)

6

Can all medications be crushed or altered ?

NO!

7

What are examples of meds that cannot be crushed or altered ?

Long acting and slow release drugs cannot be crushed

8

When administering medications through a NG tube, what should be done with the medications ?

If meds can be crushed, crush each pill, one at a time, to a fine powder and mix with 15-30 ml of water before delivery through the tube, keeping each medication separate from the others

9

How much water should be mixed with the crushed pills ?

15-30 ml

10

Purpose of the NG tube placement

Administer tube feedings and/or medications
Establish a means for suctioning the stomach
Decrease distention
Decrease nausea and/or vomiting
Gastric Lavage
Poison
Medication overdose
Allowing the stomach to rest
To promote healing
Pre or Post surgery
To obtain gastric contents for lab analysis
Monitor GI bleeding

11

Why would we insert a NG tube to suction the stomach ?

To decrease distention, decrease nausea/vomiting, and for purposes of gastric lavage in cases of poison and medication overdose

12

NG tube goes through the ______________ and into the ____________

nose; stomach

13

a nasointestinal tube goes through the ___________ and into the ________________

nose; duodenum

14

A NI tube is inserted into clients who are at risk for

aspiration

15

Can suctioning be used with NG tubes?

Yes; NG tubes may be attached to low continuous or higher levels of intermittent suction

16

Why is excessive suction harmful?

It can cause mucosal damage

17

When inserting an NG tube, the patient should be in what position ?

High Fowlers position

18

Measure distance: NG tube insertion

Place tube tip at the nostril extend to the earlobe then to the xiphoid process

19

NEX

nostril - earlobe - xiphoid process

For NG tube measurement purposes

20

what size of NG tube is common ?

Size 16

21

For the NI tube, you should add how many inches to the NEX ?

8-12 inches

22

When placing an NI tube, what do you do after the tube is in the stomach ?

After the tube is in the stomach place patient on right side and allow peristalsis to advance tube (may take up to 24 hours)

23

make sure to _______________ the tube to allow for ease of passage and to ______ the patients head.

lubricate; lift

24

When inserting tube into the nostril, you should direct the tube ______________ and _______________

downward and backward

25

after measuring NEX, what do you do?

Make sure to mark the tube with tape at the point of measurement where it hits the xiphoid process

26

When inserting the NG tube, why do we have the patient touch their chin to their chest ?

Closes the trachea and opens the esophagus

27

Advance the tube _______ and ______________ as the patient swallows

down and back

28

The tube should be advanced to the point of _______

the tape marker

29

You should do what when the patient breathes during the procedure ?

Stop advancing the tube

30

you should rotate the tube __________ while inserting

180 degrees