NG/PEG Basics
Where is an NG tube inserted?
Through the nose into the stomach
When to flush a tube?
Before and after feeds and meds
Complication if feeding or medication enter the lungs instead of the stomach.
(be specific)
Aspiration Pneumonia
Where in the body can an "ostomy" be created to eliminate stool?
(2 answers)
Small or large intestine
When to empty a colostomy bag?
1/3-1/2 full
Most accurate method to confirm NG placement?
X-ray
Position for tube feedings?
Semi-Fowler's or Fowler's
What to do if a PEG tube falls out that is less than 24 hours old?
Cover site, notify provider immediately
Until bowel sounds return after colostomy placement, patients are usually kept in this status.
NPO
The nurse should use this to gently clean the stoma and surrounding skin.
Washcloth with warm water and mild soap
What type of NG tubes can be hooked to suction?
a double-lumen NG tube or "salem sump"
Two med types safe for tube administration?
(looking for 2 answers)
Liquid formulation or finely crushed
Most common complication at a PEG site
Infection
A healthy stoma should look this color.
Pink to beefy red and moist
If a stoma turns black, what is the problem?
Tissue Necrosis
What does "NEX measurement" stand for?
Nose-Ear-Xiphoid
Sequence for medication administration via tube?
(4 items in the sequence)
Check placement-Flush-Med-Flush
Pt with NG suddenly starts coughing and has a low oxygen saturation. What happened?
The tube is displaced in the airway
A pale, dusky, or black stoma suggests this unsafe complication
Poor blood supply/ ischemia/ necrosis
A sunken stoma below skin level is known as this
stoma retraction
pH range that suggests gastric placement?
1-5
For safe practice, NG tube placement should never be confirmed solely by this outdated method.
air bolus or "whoosh test"
Complication if feeding given with HOB flat?
Aspiration
The part of the intestine that is brought to the abdominal surface in a colostomy is called this.
Stoma
This activity restriction after colostomy surgery helps prevent parastomal hernia and stoma prolapse.
avoid heavy lifting