Exam (elaborations)
N450 - Gastrointestinal Treatment (1)
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N450 - Gastrointestinal Treatment (1)
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N450 - Gastrointestinal TreatmentWhat are the purposes of gastric intubation? - ANS-1. Decompress the stomach
2. Meet nutritional requirements when oral intake is inadequate or not possible and the GI tract
is functioning
3. Administer medications
4. Diagnose GI disorders
5. (ER only) Compress bleeding site/ lavage stomach
What are the types of tubes - ANS-1. Nasogastric (NG tube)
2. Nasoenteric (dobhoff)
3. Gastrostomy
4. Jejunostomy
Where does the nasogastric tube end? What is the purpose? - ANS-stomach; decompression or
feeding, short term only
Where does the nasoenteric tube end? What is the purpose? - ANS-ends in duodenum or
jejunum; feeding only, more flexible,weighted. With peristalsis it will drop things down to
jejunum.. or with syringe. Last 4 weeks
Where does the gastrostomy and jejunostomy tube end? What is the purpose? -
ANS-stomach/jejunum; feeding only, long term
What is a salem sump tube used for? - ANS-Decompression or lavage, keeping it empty until
normal peristalsis returns. Post abd surgery, bowel obstruction
Blue piggyback = air vent prevents the tube from getting stuck along the stomach mucosa
Antireflux valve will prevent reflux of gastric fluid into the air vent
Salem Sump tube principles - ANS-1. intermittent suction for gastric decompression
2. usually 80 mmHg
3. Check placement using pH
4. NEVER clamp blue pigtail
5. Keep blue pigtail above stomach
6. IF you see gastric contents backing into blue pigtail, your main line may be clogged. Flush
with air (10-20mL)
G-tube principles - ANS-1. Required MD order
2. Know reason for insertion
3. Make sure patient is alert bc youre going to have to instruct patient to swallow the tube
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