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Fundamentals of Nursing > Tube Feeding > Flashcards

Tube Feeding Flashcards

1
Q

BMI of what is underweight

A

18.5

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2
Q

BMI of what is normal weight

A

18.5-24.9

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3
Q

BMI of what is overweight

A

> 25

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4
Q

what are we assessing the skin/hair

A

dry brittle, flakey

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5
Q

what are we assessing for LOC

A

lethargic

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6
Q

what are we assessing teeth/chewing/swallowing

A

broken, sore, intact

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7
Q

alcohol use inhibits

A

B vit absorption
b12 deficiency

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8
Q

transferrin

A

iron

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9
Q

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

A

kidney
- protein metabolism
dehydration
malnutriotn

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10
Q

what causes constipation in older adult

A

decreased peristalsis
increased meds

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11
Q

what do we want fluid intake at

A

2-3

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12
Q

NPO

A

nothing by mouth

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13
Q

clear liquid

A

jello, see through at room temp

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14
Q

full liquid

A

milk and creams

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15
Q

soft

A

texture

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16
Q

regular

A

general

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17
Q

fluid restrictions in what patients

A

renal and cardiac

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18
Q

free water

A

need more water

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19
Q

supplements

A

protein, potassium

20
Q

why might we have NG tube

A

aspiration or need more nutrients

21
Q

LIS

A

low intermittent suction

22
Q

why do we use LIS

A

not to damage mucosa

23
Q

airport is a

A

safety device

24
Q

gold standard check for tubes is

A

X-ray

25
Q

kofeed is for

A

long term

26
Q

PEG

A

is a tube straight to stomach

27
Q

do we aspirate J tubes or GJ tubes

A

no
- creates pressure in jejunum

28
Q

bolus

A

large amounts at once
- mimics meals

29
Q

gravity

A

hold feeding above body and let gravity work

30
Q

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

A

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

31
Q

residiuals

A

pull back before starting feeding to see volume

32
Q

test patency of tube

A

flush

33
Q

HOB

A

30-45

34
Q

what do we put in the nose

A

water soluble oitment

35
Q

how do we promote pt safety

A

flush and turn off before put head of bed down

36
Q

when do we flush

A
  • Q4 (automatic on feeder)
  • before, between and after meds
  • before after bolus feeds
    before and after checking gastric residuals
37
Q

what syringe do we use for flushing

A

30 mL at least syringe

38
Q

what do we flush with

A

30mL warm sterile water

39
Q

how do we unclog an occluded tube

A

activated pancreatic enzymes

40
Q

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

A

pressure too large it can pop tubing

41
Q

how do we activate pancreatic enzymes

A

sodium bicarb

42
Q

how do we give meds

A

grind one at time into a powder mixed with sterile water

43
Q

how do we give liquid meds

A

dilute in water

44
Q

what meds do we not crush

A

XL, SR, CR, enteric coated

45
Q

check residuals every

A

4 hours

46
Q

serum albumin value

A

<3.5

47
Q

pre albumin value

A

15-35

Fundamentals of Nursing (23 decks)

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