Parenteral Nutrition
This item must go on the end of the primary IV tubing when administering parenteral nutrition.
What is a filter?
Initial tube placement should be confirmed with this before the instillation of feeding, fluids, or medications.
What is an x-ray
Condition of blood glucose >180 mg/dL
What is hyperglycemia.
The Centers for Disease Control (CDC) defines a ________ as a “catheter which terminates in one of the great vessels in or near the heart and be used for one of the purposes: infusions, withdrawal of blood and hemodynamic monitoring” (2013).
central venous access device (CVAD)
These meds should never be crushed
What are enteric coated or extended release medications
Parenteral nutrition and tubing must be replaced this often.
What is every 24 hours?
Syringe used to flush and administer medications to the enteral tube
ENFit syinge
5 Risks for hyperglycemia on PN (parenteral nutrition).
What are: age, obesity, severity of illness, rate of infusion, h/o diabetes.
This is a tube placed with the intension of decompressing the bowel until normal peristalsis returns in the case of ileus or bowel obstruction. (specific name of tube)
What is a Salem or Levin NG tube
This is how you measure for the depth of NG tube insertion.
What is from the tip of the nose, to the earlobe, to the xyphoid process?
This type of filter should be used for 3-in-1 solutions, or parenteral nutrition that contains lipids.
What is a 1.2 micron filter?
Two indications for enteral nutrition.
What are (name 2): cancer (head/neck/upper GI), critical illness/trauma, neurologic/muscular disordders, GI disorders (IBD, mild pancreatitis), prolonged intubation, anorexia, difficulty swallowing.
The abrupt discontinuation of PN or TPN can cause this.
What is hypoglycemia.
This tube goes from the nose to the stomach
What is a Naso Gastric Tube (NG)
A nasoduodenal tube would be placed from the nose to the duodenum (first part of small intestine)
A nasojejunal tube would be place from the nose to the jejunum (second part of the small intestine)
It is important to know where the tip of the tube lies
Amount of suction in mmHg is considered low suction
usually 80 to 100 mmHg = low suction
These are two reasons for patients may be on parenteral nutrition.
What are (name 2): nonfunctional GI tract, ileus, malabsorption, severe diarrhea, severe pancreatitis, extended bowel rest, preoperative bowel rest, etc.
Amount of time the syringe and graduate cylinder used for flush of enteral tube should be replaced.
What is every 24 hours
This is administered to control blood glucose levels, due to the dextrose in PN and TPN.
What is insulin.
This tube is surgically placed in the stomach for feedings.
What is a G tube (gastrostomy tube)
or PEG tube (percutaneous endoscopic gastrostomy tube)
A tube could also be surgically placed in the jejunum or second part of the small intestine (Jejunostomy tube=J tube or PEJ)
What is central line associated bloodstream infection?
Most common non-infectious device complication.
What is catheter occlusion?
If the nurse obtains this residual amount, the enteral feeding should be stopped and provider called.
>500 mL
or >250 mL times 2 checks
______ concentration is increased gradually over several days in parenteral nutrition.
What is Dextrose?
This tube goes into the _____ or _____ for what is called postpyloric feeding because the distal end of the feeding tube rests past the pylorus.
what is the duodenum or jejunum
This complication can be prevented by proper patient positioning at a 30-45 degree angle when receiving enteral feeding.
What is aspiration?