Types of Tubes
Inserted through the nose and enters the stomach. Use for short term (less than 6 weeks) feedings.
Nasogastric Tube
Provides a constant flow of formula and even distribution of nutrition throughout the day.
Continuous feeding
Considered most accurate method to confirm tip placement.
X-ray
Abbreviated GVR
Gastric Volume Residual
Client position during continuous enteral feeding.
HOB 30o
Tube is inserted through the nose and enters the small intestines?
Nasoenteric
Bolus
Normal range of gastric aspirate
Generally 1-5.5
When measuring for tube placement 8 to 10 cm (3-4 inches) is added on before marking the tube.
Nasoenteric tube-Dubhoff tube
This equipment should be changed every 24 hours
Open feeding system bag/tubing
Single lumen tube used for drainage
Levin
Prefilled bag or bottle that is spiked with tubing that is attached to feeding pump or run through a manually controlled drip chamber.
Closed feeding system.
Intestine
Alternate feeding method delivering liquid nutrition into upper intestinal track
Enteral nutrition
Can hang 36-48 hours depending on agency policy.
Closed feeding container
End of tube resides in the jejunum
NJ tube
Rate of feeding is not precise, and increases risk of reflux, diarrhea and aspiration.
Gravity feeding
High residuals place a client at risk for....?
Aspiration
Checking for GVR is contraindicated with this type of enteral tube.
NE or NJ tubes
Placed surgically or laparoscopically for long-term feeding.
G-tube, PEG, G-button
Most agencies require this system not hang for more than 4 hours.
Open feeding system
Common major respiratory complication from a dislodged tube?
Aspiration pneumonia
Two nursing interventions for clients with enteral tube feedings
Daily weights, Focused GI assessment, Place on I &O, Assess insertion site, monitor labs,