NG Tubes
Most reliable bedside method to confirm NG tube placement?
Aspirate pH <5 or air injection.
Max time for one suction pass?
10-15 seconds
What is the first step of catheter insertion?
Perineal care
Correct angle for subcutaneous injection?
Lab to check before and during warfarin administration?
INR
Gold standard method to verify NG tube placement?
Abdominal x-ray
Prevent hypoxia before suctioning?
Pre-oxygenate with 100% oxygen.
Why inflate balloon only after you see urine return?
To confirm placement in the bladder.
Safest IM sites in adults?
Ventroglueteal
Opioid overdose antidote?
Naloxone
The patient shows respiratory distress during insertion. What is your first action?
Stop and assess airway.
Why complete sterile technique for trach but not oral suctioning?
What must a nurse do after inserting a catheter into an uncircumcised male patient?
Replace the foreskin.
Steps required prior to placing a transdermal patch?
Clean skin, shave hair, and check for other patches.
Why do we never push KCl IV?
Potential fatal arrhythmias.
Best position during NG insertion?
High Fowler's
Low SpO2, gurgling, increased HR/RR, restlessness
Position for female catheterization?
Dorsal recumbent or lithotomy.
Gauge and length for deep adult IM injection?
21-23 gauge and 1-1.5 inch
What do we need to assess prior to administering metoprolol?
HR and BP
Nurse's responsibilities before enteral feedings?
Verify placement, residual, bowel sounds, elevate HOB.
What is the correct suction pressure for an adult patient with a trach?
80-120 mmHg
Resistance and pain during insertion is met, what is the nurses action?
Stop, don't force catheter, and notify provider.
Only type of insulin able to be given IV?
Regular insulin
Antidote for heparin?
Protamine sulfate