Show:
Types of Tubes
Tube Feedings
Safety measures
Transabdominal Tube Care
Gastric Residual
100
Single-lumen large bore tube used mainly for suction but occasionally for feeding
What is levin tube.
100
The preferred method of meeting a person's nutritional needs.
What is enteral feeding.
100
The best way to verify placement of an NG tube, but rarely used.
What is check pH of gastric contents.
100
Clean with saline the first week, then soap and water.
What is skin around the transabdominal tube.
100
The definition is: The amount of stomach contents left after sufficient time is allowed for emptying.
What is gastric residual.
200
Large bore tube with a blue pigtail used mainly for removing stomach contents.
What is Salem Sump.
200
The major safety problem associated with any type of tube feeding.
What is aspiration or gastric reflux.
200
The preferred method to verify the location of a nasointestinal tube.
What is chest x ray.
200
Replace this weekly.
What is liquid in the balloon.
200
Hook up the syringe, pull back, measure, replace to stomach, flush with 30 mL of water.
What is procedure for measuring gastric residual.
300
A tube that goes through the nose into the stomach.
What is nasogastric tube.
300
A less-desirable tube feeding schedule because it causes increased gastric distention leading to reflux.
What is bolus or intermittent feeding.
300
A safety measure to prevent accidental puncture of the esophagus when using a nasointestinal tube.
What is never replace the stylet into the tube.
300
Rotate this 90 degrees every 24 hours.
What is bumper on the g-tube.
300
How much residual is too much?
What is 250 mL or whatever agency policy states.
400
A tube that is inserted through the nose and ends up in the first part of the small intestine.
What is nasointestinal tube.
400
Two assessments that must be performed prior to giving a patient a tube feeding.
What is tube placement and gastric residual.
400
A nursing action to prevent gastric reflux and subsequent aspiration.
What is elevate the HOB 30 degrees or more at all times.
400
To prevent internal pressure on the stomach wall you should never do this.
What is place a drain sponge between the bumper and the skin.
400
What should the nurse do with the aspirated fluid?
What is refeed if <250 mL.
500
A tube that is inserted through an incision in the abdominal wall.
What is transabdominal tube or gastrostomy.
500
Four assessments that must be made on every patient receiving a tube feeding.
What is weight, I & O, lung sounds, bowel sounds, temperature, condition of the mucosa, GI complaints, elimination patterns.
500
Nursing actions to prevent diarrhea and bacterial contamination of tube feeding.
What is change bag and tubing q 24 hours.
500
Assessment of the skin around the G-tube should include this.
What is redness or tissue damage.
500
What should the nurse do if > 250 mL is aspirated?
What is Hold the feeding for 1 hour; reassess residual at that time.