Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
27 Cards in this Set
- Front
- Back
Where are NI tubes placed?
|
Directly into the small intestine beyond the pyloric sphincter of the stomach.
|
|
What is the advantage of NI feedings?
|
Decreased gastric reflux, which reduces the risk of aspiration.
|
|
Where is a gastrostomy tube placed?
|
Surgically placed in the stomach and exits through an incision in the upper left quadrant of the abd, where it is sutured in place.
|
|
What does PEG stand for?
|
Percutaneous Endoscopic Gastrostomy (tube)
|
|
What does PEJ stand for?
|
Percutaneous Endoscopic Jejunostomy (tube)
|
|
When is a PEJ tube used?
|
When clients have a gastric ileus (decreased or absent peristalsis that affects the stomach but not the intestines), delayed gastric emptying, gastric resections, or neurological impairments that place them at greater risk of aspiration
|
|
How long should an open feeding system be allowed to hang?
|
8 hours max.
|
|
How long should a closed feeding system be allowed to hang?
|
24 hours max.
|
|
What should be verified before giving a tube feeding?
|
physicians orders for rate, formula, frequency...
|
|
When prepraring the feeding solution, what should be checked?
|
Expiration date, correct formula, formula at room temperature
|
|
When connecting tubing to feeding bag container, what technique should be used?
|
aseptic (prevent contamination)
|
|
How and why is the line primed?
|
By filling the feeding bag, opening the regulator clamp, filling the tubing w/ formula (to remove air), hang bag on IV pole. This is done to prevent excess air from entering the GI tract once infusion begins.
|
|
How high should the HOB be elevated?
|
high-Fowler's or at least 30 degrees
|
|
If client must remain supine, what position should he be placed in?
|
reverse Tredelenburg (to reduce risk of aspiration w/ head higher than stomach)
|
|
When should residual volume be checked when administering tube feedings?
|
Before each feeding, q 4 - 12 hours (for continuous feedings)
|
|
Before starting the NG/NI feeding, what should be done?
|
Check amount of gastric contents. Return to stomach unless volume is greater than 100 mls.
|
|
What should be done if gastric content amounts to more than 100 mls?
|
Hold feeding; contact physician.
|
|
Why are gastric contents returned to the stomach?
|
Prevents fluid and electrolyte imbalance.
|
|
For gastrostomy tubes, when should the doctor be notified re: amount <100ml aspirated?
|
After several occasions...(can still be fed)
|
|
After checking content volumes, what should be done IMMEDIATELY prior to feeding?
|
Irrigate feeding tube with 30 ml of water to clear the tubing, and check position.
|
|
If irrigation is unsuccessful, what should be done:
|
1) change position (lay on left side)
2) notify physician |
|
Name the steps to giving a bolus feeding.
|
1) pinch proximal end of tube
2) attach barrel of syringe to end of tube 3) fill syringe w/ measure amt of formula 4) repeat until full amt prescribed is given |
|
what is the highest elevation the syringe can be raised to?
|
no more than 18 inches
|
|
Name the steps to giving an intermittent feeding
|
1) attach tubing set to proximal end of feeding tube.
2) set rate via roller clamp 3) allow to empty over 30-60 minutes 4) Label bag w/ tube feeding type, strength, amt, date, time, initials |
|
Name the steps to giving a continuous feeding.
|
1) Connect tubing set to proximal end of feeding tube.
2) Connect tubing through infusion pump and set rate |
|
How can tube patency be maintained?
|
Administer free water as ordered, between feedings.
|
|
What should be done when tube feedings are not being administered?
|
The proximal end of the feeding tube should be capped or clamped. (to prevent air from entering the stomach)
|