Feeding Tubes
What is another name for a nasoenteric feeding tube?
Dobbhoff tube
T/F: Total parenteral nutrition relies on GI function.
False
What device can be described as a plastic prong that is attached to an O2 source via a piece of plastic tubing?
Nasal Cannula
At what level is a tracheostomy performed?
Between the 2nd and 3rd tracheal rings
What are 3 types of weaning methods?
SIMV
T-Piece
PSV
What is the purpose of a nasogastric tube?
It keeps the stomach empty after surgery and rests the bowel by preventing gastric contents from passing through the bowels.
What can be delivered through a peripheral IV line?
Medications, fluids, electrolytes, nutrients, and blood product transfusions.
What delivery system is typically used for long term O2 therapy?
Transtracheal Catheter
What are the 3 components of a metal tracheostomy tube?
Outer cannula, Inner cannula, Obturator
What does PEG tube stand for?
Percutaneous endoscopically inserted gastrostomy.
What are the four methods of enteral feeding?
Continous, Cyclic, Intermittent, and Bolus
What provides a positive inspiratory and positive end expiratory pressure to decrease the work of breathing?
BiPAP
What are the main advantages of using a polyvinyl chloride tracheostomy tubes?
Minimize crusting, ease of attaching inflatable cuffs, low cost
Which weaning method increases the periods of time of breathing OFF the ventilator?
T-piece
What are some precautions to consider with peripheral IV lines?
Avoid BP cuffs; watch tubing for kinks or occlusions; position the patient to avoid occluding flow; signs of infiltrated IV or phlebitis.
Parenteral nutrition puts the patient at a greater risk for what conditions?
Infections, blood clots, liver disease, and bone disease
What system provides the patient with the highest concentration of supplemental O2?
Non-Rebreather Mask
What other piece of medical equipment is a cuffed tracheostomy tube typically used in conjunction with?
Positive Pressure Ventilation
Name 3 Pt criteria for an attempt at weaning...
Spontaneous breathing
FIO2 < 50% and PEEP < 5cm H20 w/ O2 sat >90%
Max inspiratory pressure > -30cm H20
RR < 35 breaths/min
Tidal volume > 325 ml
RR/VT ration < 105
Cephalic and basilic veins
How should the head of the bed be positioned during feedings?
What delivery system has a valve that can adjust the specific percentage of room air that is mixed with O2 in order to precisely control FiO2?
Air Entrainment Mask
What piece of equipment is typically used as a step between mechanical ventilation and spontaneous breathing?
Passy-Muir Valve
pH < 7.25 to 7.30 associated w/ increasing PaCO2
Paradoxical breathing pattern
O2 saturation by pulse ox <90%
Change in HR > 20 beats
Change in BP >20 mmHg
Agitation, panic, diaphoresis, cyanosis, angina, or arrhythmias