Tube Feeding

Question 1

BMI of what is underweight

Answer 1

18.5

Question 2

BMI of what is normal weight

Answer 2

18.5-24.9

Question 3

BMI of what is overweight

Answer 3

> 25

Question 4

what are we assessing the skin/hair

Answer 4

dry brittle, flakey

Question 5

what are we assessing for LOC

Answer 5

lethargic

Question 6

what are we assessing teeth/chewing/swallowing

Answer 6

broken, sore, intact

Question 7

alcohol use inhibits

Answer 7

B vit absorption
b12 deficiency

Question 8

transferrin

Answer 8

iron

Question 9

what does 24 hour urine, BUN, and creatine tell us

Answer 9

kidney
- protein metabolism
dehydration
malnutriotn

Question 10

what causes constipation in older adult

Answer 10

decreased peristalsis
increased meds

Question 11

what do we want fluid intake at

Answer 11

2-3

Question 12

NPO

Answer 12

nothing by mouth

Question 13

clear liquid

Answer 13

jello, see through at room temp

Question 14

full liquid

Answer 14

milk and creams

Question 15

soft

Answer 15

texture

Question 16

regular

Answer 16

general

Question 17

fluid restrictions in what patients

Answer 17

renal and cardiac

Question 18

free water

Answer 18

need more water

Question 19

supplements

Answer 19

protein, potassium

Question 20

why might we have NG tube

Answer 20

aspiration or need more nutrients

Question 21

LIS

Answer 21

low intermittent suction

Question 22

why do we use LIS

Answer 22

not to damage mucosa

Question 23

airport is a

Answer 23

safety device

Question 24

gold standard check for tubes is

Answer 24

X-ray

Question 25

kofeed is for

Answer 25

long term

Question 26

PEG

Answer 26

is a tube straight to stomach

Question 27

do we aspirate J tubes or GJ tubes

Answer 27

no - creates pressure in jejunum

Question 28

bolus

Answer 28

large amounts at once - mimics meals

Question 29

gravity

Answer 29

hold feeding above body and let gravity work

Question 30

what are we going to get when patient doesn't tolerate feeding

Answer 30

diahreah, cramping, gas, pain, blaociting, nausea vomiting, more risediual than feeding

Question 31

residiuals

Answer 31

pull back before starting feeding to see volume

Question 32

test patency of tube

Answer 32

flush

Question 33

HOB

Answer 33

30-45

Question 34

what do we put in the nose

Answer 34

water soluble oitment

Question 35

how do we promote pt safety

Answer 35

flush and turn off before put head of bed down

Question 36

when do we flush

Answer 36

- Q4 (automatic on feeder) - before, between and after meds - before after bolus feeds before and after checking gastric residuals

Question 37

what syringe do we use for flushing

Answer 37

30 mL at least syringe

Question 38

what do we flush with

Answer 38

30mL warm sterile water

Question 39

how do we unclog an occluded tube

Answer 39

activated pancreatic enzymes

Question 40

why do we not use a syringe that holds less that 30Ml

Answer 40

pressure too large it can pop tubing

Question 41

how do we activate pancreatic enzymes

Answer 41

sodium bicarb

Question 42

how do we give meds

Answer 42

grind one at time into a powder mixed with sterile water

Question 43

how do we give liquid meds

Answer 43

dilute in water

Question 44

what meds do we not crush

Answer 44

XL, SR, CR, enteric coated

Question 45

check residuals every

Answer 45

4 hours

Question 46

serum albumin value

Answer 46

<3.5

Question 47

pre albumin value

Answer 47

15-35