Podcast
Questions and Answers
Which of the following best describes 'intubation'?
Which of the following best describes 'intubation'?
- The process of surgically creating an opening in the body.
- Administering medications through the skin.
- The removal of fluids from the body.
- The placement of a tube into a body structure. (correct)
What is the route of insertion for an orogastric tube?
What is the route of insertion for an orogastric tube?
- Through the nose to the intestine.
- Through the nose to the stomach.
- Through a surgically created opening.
- Through the mouth to the stomach. (correct)
Which of the following is a primary use for gastric or intestinal tubes?
Which of the following is a primary use for gastric or intestinal tubes?
- To perform gavage. (correct)
- To facilitate breathing.
- To administer intravenous fluids.
- To monitor heart rhythm.
Which type of feeding is administered directly into the stomach or small intestine?
Which type of feeding is administered directly into the stomach or small intestine?
What measurement is used to determine the insertion length of a nasogastric tube?
What measurement is used to determine the insertion length of a nasogastric tube?
A patient is experiencing nausea and vomiting prior to nasogastric intubation. According to the guidelines, what is the significance of this?
A patient is experiencing nausea and vomiting prior to nasogastric intubation. According to the guidelines, what is the significance of this?
How is the correct placement of a nasointestinal tube typically verified after insertion?
How is the correct placement of a nasointestinal tube typically verified after insertion?
Gastric sump tubes are characterized by which of the following features?
Gastric sump tubes are characterized by which of the following features?
What is the primary purpose of a tungsten-weighted intestinal decompression tube?
What is the primary purpose of a tungsten-weighted intestinal decompression tube?
A patient receiving bolus feedings is exhibiting signs of dumping syndrome. Which modification to the feeding schedule is most appropriate?
A patient receiving bolus feedings is exhibiting signs of dumping syndrome. Which modification to the feeding schedule is most appropriate?
What is a key difference between nasogastric and nasointestinal tubes regarding their placement?
What is a key difference between nasogastric and nasointestinal tubes regarding their placement?
A patient with a nasogastric tube is ordered intermittent feeding. What does intermittent feeding mean?
A patient with a nasogastric tube is ordered intermittent feeding. What does intermittent feeding mean?
What is the primary reason for assessing gastric residual volume in a patient receiving continuous enteral feedings?
What is the primary reason for assessing gastric residual volume in a patient receiving continuous enteral feedings?
When inserting a nasointestinal tube, after obtaining the NEX measurement, how much additional length should be added, according to the guidelines?
When inserting a nasointestinal tube, after obtaining the NEX measurement, how much additional length should be added, according to the guidelines?
In the context of intestinal decompression, what is the significance of utilizing a tube with a tungsten weight?
In the context of intestinal decompression, what is the significance of utilizing a tube with a tungsten weight?
Which nursing intervention is most crucial for maintaining the patency of a nasogastric tube used for continuous enteral feeding?
Which nursing intervention is most crucial for maintaining the patency of a nasogastric tube used for continuous enteral feeding?
A patient develops dumping syndrome following a bolus feeding through a jejunostomy tube. Beyond altering the feeding schedule, what dietary modification is most appropriate?
A patient develops dumping syndrome following a bolus feeding through a jejunostomy tube. Beyond altering the feeding schedule, what dietary modification is most appropriate?
In a patient with a surgically placed gastrostomy tube, what finding would necessitate an immediate notification to the healthcare provider?
In a patient with a surgically placed gastrostomy tube, what finding would necessitate an immediate notification to the healthcare provider?
What is the theoretical rationale behind aspirating fluid from a newly placed nasointestinal tube to confirm placement, considering the potential for false negatives and the primacy of radiographic confirmation?
What is the theoretical rationale behind aspirating fluid from a newly placed nasointestinal tube to confirm placement, considering the potential for false negatives and the primacy of radiographic confirmation?
A patient with severe gastroparesis requires long-term enteral nutrition via a nasojejunal tube. Despite optimal placement and flushing protocols, the tube frequently occludes. What unconventional, yet evidence-informed, strategy could be implemented to mitigate recurrent occlusions, considering the limitations of standard approaches?
A patient with severe gastroparesis requires long-term enteral nutrition via a nasojejunal tube. Despite optimal placement and flushing protocols, the tube frequently occludes. What unconventional, yet evidence-informed, strategy could be implemented to mitigate recurrent occlusions, considering the limitations of standard approaches?
Flashcards
Intubation
Intubation
Placement of a tube into a body structure.
Orogastric Intubation
Orogastric Intubation
Insertion of a tube through the mouth into the stomach.
Nasogastric Intubation
Nasogastric Intubation
Insertion of a tube through the nose into the stomach.
Nasointestinal Intubation
Nasointestinal Intubation
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Ostomy
Ostomy
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Gavage
Gavage
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Nasogastric Tubes
Nasogastric Tubes
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Nasointestinal Tubes
Nasointestinal Tubes
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Gastrostomy Tube
Gastrostomy Tube
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Jejunostomy Tube
Jejunostomy Tube
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NEX Measurement
NEX Measurement
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Enteral Nutrition
Enteral Nutrition
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Dumping Syndrome
Dumping Syndrome
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Bolus Feedings
Bolus Feedings
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Intermittent Feedings
Intermittent Feedings
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Cyclic Feedings
Cyclic Feedings
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Continuous Feedings
Continuous Feedings
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Study Notes
- Gastrointestinal intubation involves placing a tube into a body structure.
Types of Intubation
- Orogastric intubation: insertion from mouth to stomach.
- Nasogastric intubation: insertion from nose to stomach.
- Nasointestinal: insertion from nose to intestine.
- Ostomy: via surgically created opening.
Gastric or Intestinal Tube Uses
- Performing gavage.
- Administering oral medications.
- Obtaining a sample of secretions for diagnostics.
- Performing lavage
- Decompression.
- Tamponade (compression).
Types of Tubes
- Orogastric tubes exist.
- Nasogastric tubes are smaller in diameter than orogastric tubes; some have more than one lumen, like gastric sump tubes (double-lumens), and use for gastric reflux.
- Nasointestinal tubes are longer than nasogastric tubes, and used for feeding and intestinal decompression.
- Transabdominal tubes include gastrostomy and jejunostomy tubes.
Nasogastric Tube Management
- Preintubation assessment involves evaluation of the level of consciousness, weight, bowel sounds, abdominal distention, integrity of nasal/oral mucosa, ability to swallow, cough, gag, and any nausea or vomiting.
Tube Measurement and Placement
- NEX measurement: measure the length from nose to earlobe to the xiphoid process and mark the tubing for reference.
- Insertion should cause as little discomfort as possible.
- Determine proper placement using abdominal X-ray and monitoring external tube length.
- Insertion of nasointestinal tubes: NEX measurement + 9 in.
- Tube placement should initially be checked with X-ray, then aspiration of fluid from the tube using a large-volume (30- to 50-mL) syringe.
Tube Feedings
- Enteral nutrition is provided via stomach or small intestine rather than the oral route, with benefits and risks.
- Can cause dumping syndrome.
- Formula type depends on type of tube, access site, and client's nutritional needs.
- Tube-feeding schedules: bolus feedings, intermittent feedings, cyclic feedings, and continuous feedings.
- Symptoms of dumping syndrome are weakness, dizziness, sweating, and nausea, due to fluid shifts from circulating blood to the intestine and low blood glucose levels from a surge of insulin.
- Daily client assessment includes weight, vital signs, intake/output, bowel sounds, lung sounds, breathing, mucosal condition.
- Regular gastric residual assessments are needed.
- Nursing management: maintain tube patency, clear obstructions, provide adequate hydration, ready client for home care, and address miscellaneous problems
Intestinal Decompression
- Uses tungsten-weighted intestinal decompression tube.
- Tube insertion is required.
- Tube removal is two staged.
- There are circumstances precluding nasal removal.
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