Diets
A diet that consists of liquids that, as is or diluted, are clear enough to read a newspaper through. Includes tea, broth and coffee.
What is a clear liquid diet?
NG tube size used for gastric decompression and gastric lavage.
What is 16 or 18 Fr?
IV fluid that has a higher concentration of particles than the concentration in the fluids in the body. Pulls fluid into the intravascular space. Ex: D5NS
What is hypertonic solution?
Name 2 Vesicant IV Medications.
What is
Potassium
Promethazine
Valium
Phenytoin
Vancomycin
Erythromycin
Name 3 s/s of Bulimia.
What is
diarrhea
tooth decay/caries
throat irritation
indigestion
dehydration
gastric reflux
Diet of choice for pts with acute/chronic difficulties with chewing such a jaw problems or being edentulous.
What is mechanical soft diet?
2 ways of checking NG tube placement prior to each feeding.
What is..
Checking ph
Measuring tube/comparing
What Dextrose IV fluid concentration can safely be infused via a peripheral vein?
What is < 10%
Inflammation of the intima of the vein without a blood clot that presents as buring/tenderness to site, erythema, warmth and edema, vein may feel cordlike.
What is phlebitis?
Vitamin excretion that is increased when a patient is on INH regimen.
What is Vitamin B6
Modified(resricted) diet used for patients with htn, CHF, kidney/liver failure as well as those require help to prevent fluid retention.
What is sodium restricted diet?
The process of reducing the pressure within the stomach by emptying its contents, including ingested foods/liquids, gastric juices and gas; via NG tube.
What is gastric decompression?
An isotonic solution that has many incompatibilities with several medications.
What is Lactated Ringers?
IV gauge size used for rapid infusion of large fluid volumes, blood product infusions, surgery, trauma.
What are large-bore; 18-20 G
Sodium plasma levels are noted high when a pt is on Lithium therapy..what will Lithium levels be expected to be as a cause of..
What is low Lithium levels; subtherapeutic leveles
Name 3 food items that a person with celiac disease or a gluten intolerance must not eat.
wheat
rice
barley
maize
flour
couscous
taboli
malt vinegar
A tube surgically placed in the stomach for enteral feedings.
What is Corn and shellfish allergy?
2 s/s of air embolism and position to place patient in if suspected?
What is
Cyanosis, dyspnea, chest/shoulder pain, hypotension, tachycardia, loss of consciousness
Lft lateral trendelenburg
Name three provisions of IV maintenance fluid
What is..
water
electrolytes
glucose
vitamins
Diagnostic test that measures long term glycemic control by measuring glycated hemoglobin over the past 2-3 months.
What is hemoglobin A1c; HbA1c?
Name 3 things that MUST be done prior to each tube feeding for safety measures.
What is..
Check residual < 250 mL
Check tube placement
flush with 30 mL water
position mid to high fowlers
Auscultate bowel sounds
Leakage of nonvesicant IV fluids/medication into the tissue surrounding the IV insertion site; d/t displacement of IV catheter or piercing of the vein.
What is Infiltration?
3 Guide lines of performing IV venipuncute/cannulation.
What is
Insert needle in the same direction that venous blood flows back to the heart
Bevel up
Never advance full needle
Insert needle @ 15-30 degree anlge
Ports/needle must remain sterile
Secure/Anchor needle hub against skin to avoid severing cath by bending
Explain extravasation, state 2 s/s and treatment of
What is
Leakage of vesicant medication into subcutaneous tissue
pain, erythema, edema, blisters
stop infusion, aspirate and antidote if there is one, remove IV, elevate, warm and cold packs