Gastrostomy Techniques and Care Quiz

A surgical procedure that creates an opening in the stomach, typically for delivering nutrition, fluids, and medications via a feeding tube.

A gastrostomy is preferred to deliver enteral nutrition support longer than 4 to 6 weeks.

A gastrostomy is a surgical procedure that creates an opening in the stomach to deliver nutrition, fluids, and medications via a feeding tube.

A technique where a feeding tube is inserted into the stomach through the skin after being guided by an endoscope.

A PEG procedure involves inserting a feeding tube through the skin into the stomach guided by an endoscope.

A PEG procedure typically takes 15 to 20 minutes and requires a provider skilled in endoscopy with the use of moderate sedation.

A lighted endoscope is inserted through the mouth into the stomach. Once in the stomach, the light indicates the location for insertion of a hollow needle and guidewire.

The Percutaneous Endoscopic Gastrostomy (PEG) procedure is a minimally invasive technique for placing a feeding tube into the stomach.

The process of emptying the stomach contents, influenced by factors like peristalsis and the ability of the gastrointestinal tract to digest nutrients.

The amount of fluid or food remaining in the stomach after a feeding.

A feeding method where a specific volume of formula is administered at set intervals.

A feeding method where formula is continuously infused into the stomach.

A type of intermittent feeding where a syringe is used to deliver formula through a feeding tube.

The action of pushing air out of the tubing before feeding to prevent air from entering the stomach.

A type of feeding tube used to deliver formula directly into the stomach.

Flushing the feeding tube with water after feeding to ensure patency and prevent blockages.

A procedure where a feeding tube is inserted through the abdominal wall and into the stomach, typically used for individuals who are unable to eat normally by mouth.

A small, inflatable device positioned inside the stomach near the opening of the feeding tube. It helps to secure the tube by pressing against the stomach wall.

A disc attached to the external end of the feeding tube that sits near the abdominal surface. It works in tandem with the internal bolster to keep the tube in place.

Maintain an upright position (at least 30 degrees) during feeding and for an hour after feeding to minimize the risk of aspiration.

Cleanse the area around the tube with an antiseptic daily for the first 24 hours after insertion, then transition to soap and water daily.

Rotate the tube in a circle (360 degrees) daily to help prevent the tube from becoming stuck.

A procedure where a feeding tube is inserted into the stomach using imaging guidance, often used when the esophagus is obstructed.

If the PEG tube falls out, a replacement should be inserted immediately. If the tube has been in place for less than two weeks, attempt to reinsert, but only after confirming the tube's position with imaging.

Inspecting the tube for any signs of wear or tear. Indicates if the tube needs replacing.

Adjusting the drip rate of the feeding tube to ensure a slow and steady flow of formula over the prescribed time. This prevents sudden influx of formula, which can cause diarrhea.

Adding water to the feeding bag when the formula is empty helps maintain tube patency and prevents air from entering the stomach, thereby reducing gas accumulation.

Observing the outer tube length/markings for any changes, indicating potential tube migration (movement).

Cleaning the exit site of the feeding tube with soap and water to prevent infection.

Washing the reusable gavage bag every 24 hours with soap and hot water minimizes the risk of microorganisms multiplying in the bag and the feeding tube.

Rotating the outer bumper of the tube 90 degrees to prevent pressure ulcers at the exit site.

Checking tube placement regularly ensures the feeding tube remains in the stomach, preventing accidental misplacement and ensuring proper delivery of nutrients.

Monitoring residual volume every 8 hours helps prevent gastric distention, which can lead to regurgitation and pulmonary aspiration.

Using sterile gauze or foam dressing to manage leakage or risk of dislodgement.

Diluting the formula with water provides the prescribed nutrients while minimizing bacterial growth, as formula is susceptible to contamination.

Flushing the tube with water every 4 hours keeps the tube open and clear, facilitating the flow of formula and medication.

Turning the client every 2 hours promotes digestion and reduces the risk of skin breakdown, ensuring overall comfort and well-being.

To help maintain the integrity of the buccal cavity

Ensures adequate hydration, which is crucial for overall well-being and proper bodily function.

This practice minimizes the spread of microorganisms, reducing the risk of infection for the patient and healthcare personnel.

A gastrostomy site is where a feeding tube is inserted into the stomach.

It's a common practice to clean the skin around the gastrostomy tube exit site daily, ensuring proper hygiene and preventing infections.

The aim is to prevent the tube from pulling, which could damage the skin or cause the tube to become dislodged.

This action helps to identify any leakage around the tube, indicating a potential problem with the tube's placement or functionality.

It's normal to have some drainage right after implantation but this should subside within a week.