Nasogastric
Tubes
Tubes
Tube, lubricant, paper towel, large syringe, pH testing strips, dressing, glass of water if allowed
What is "Equipment" for insertion of a nasogastric tube
Cannot safety chew or swallow, client has an obstruction in the GI tract
Why an "Enteral Tube is Inserted'
Scar tissue from surgery, hernias,
What are "Possible Causes of a Bowel Obstruction"
Standardized scale (e.g., PQRST method)
What is a "Pain Assessment"
Reporting worsening pain, vomiting, or changes in bowel habits, NPO status, NG tube, and IV therapy
What is "Nursing Education"
Misplacement into the airway, nasal trauma, aspiration, infection or coiling into the oral cavity
What are "Possible Complications" of inserting a nasogastric tube
Nasogastric tube, Nasoduodenal tube, Naso-jejunal tube, Gastrostomy or Jejunostomy tubes
What are "Types of Enteral tubes"
Severe pain, bloating, vomiting
What are "Signs and Symptoms" of a Bowel Obstruction
Bowel sounds, distension, tenderness, and signs of peritonitis such as rebound tenderness or rigidity
What is an "Abdominal Assessment"
Reassurance, address anxiety, involve family members in care planning to reduce stress and improve compliance
What is "Providing Emotional Support"
Recent nasal surgery, severe midface trauma, coagulation abnormality, esophageal varices
What are "Contraindications" of nasogastric insertion
pH testing, X-ray or endoscopy, electromagnetic systems like CORTRAK 2
What are "Methods to Determine Verification of Enteral Tube Placement"
WBC >10,000/mm³, elevated lactate, hypokalemia, hyponatremia, and hypochloremia
What are some of the possible "Laboratory Results" with a Bowel Obstruction
Tachycardia, hypotension, or fever, which may indicate complications like sepsis or hypovolemia
What are "Monitoring Vital Signs"
History, physical examination, and laboratory tests to assess hydration, electrolytes, and acid-base status
What is an "Initial Assessment"
From the nostril through the nasal cavity, pharynx, esophagus, and into the stomach or upper small intestine
What is the "Pathway" of the nasogastric tube
Consent, formulation suitability, individual administration
What is "Required for Medication Administration"
Hospitalization, dietary changes, possible surgery
What are possible "Treatments" for a Bowel Obstruction
Analgesics, antiemetics, bowel decompression
What is "Symptom Management"
The preferred imaging modality, offering >90% accuracy in detecting SBO, identifying the transition point, grading obstruction severity, and detecting complications such as ischemia or perforation
What is a "Computed tomography (CT) with intravenous contrast"
Verify NG tube placement, wear gloves, face and eye protection, monitor for complications, patient comfort, document care
What are "Nursing Considerations"
Flushing, blockage prevention, monitoring
What are "Feeding and Tube Management"
Physical exam, X-ray, CT scan, ultrasound, barium enema
What "providers use to Diagnoses a Bowel Obstruction"
Preoperative teaching, consent verification, and ensuring IV access
What is "Preparation for Surgical Intervention"
What is "Nonoperative Management" for a Bowel Obstruction