Testing urine for glycosuria every 6 hours
Monitoring lipemia clearance on a weekly basis
Using only central venous access for the infusion
Using non-PVC tubing
Cancer cachexia and pathologic hyperlipidemia
Pathologic hyperlipidemia and lipoid nephrosis
Thrombocytopenia and lipoid nephrosis
Lipoid nephrosis and lipatrophia
Under a laminar flow hood in the pharmacy
At the patient's bedside
In the central supply department
In a clean medication room on the nursing division
"An example of the parenteral route is subcutaneous or IM injections, or the IV route."
"Gastric feedings may be given to patients with a low risk of aspiration. If there is a risk of aspiration, jejunal feeding is the preferred method. Parenteral nutrition is provided if the patient's GI tract is nonfunctional."
"Enteral nutrition is preferred because it is less expensive than parenteral nutrition and maintains functioning of the gut."
"Parenteral nutrition is the administration of nutrients directly into the GI tract by way of a feeding tube."
Fluid volume overload
Contraindicated: for pt's with extreme hemodynamic compromise (i.e. diffuse peritonitis, acute or chronic pancreatitis, intestinal obstruction, intractable vomiting/diarrhea, & paralytic ileus.
A patient with burns of the lower extremities
A patient who has a brain injury
A patient with paralytic ileus
A patient with oral cancer
PEG specifically describes a long G-tube placed by endoscopy: stands for percutaneous endoscopic gastrostomy
A gastrostomy tube (also called a G-tube) is a tube inserted through the abdomen that delivers nutrition directly to the stomach.
A PEG tube is inserted into the jejunum; a gastrostomy tube is located in the stomach.
A PEG tube is inserted through the abdominal wall and a gastrostomy tube is inserted through the nose.
A PEG tube exits from the right upper quadrant and a gastrostomy tube exits from the upper left quadrant.
A PEG tube is inserted by using endoscopic visualization of the stomach and is held in place by its design; a gastrostomy tube is inserted surgically and is held in place by sutures.
Continuous feeding pump
Through a large vein
Large-bore syringe (bolus)
Intermittent gravity drip
Remove the feeding tube and reinsert it in the opposite naris.
Apply triple antibiotic ointment at the site of insertion and leave the tube in place.
Call the physician; get an order to remove the feeding tube and insert a new feeding tube in the opposite naris.
Medicate the patient for pain and stop using the feeding tube.
It would be unexpected for there to be more than 10 mL of gastric aspirate obtained from an NI tube or more than 200 mL from an NG tube.
The advantage to an NI tube is that there is less risk for aspiration.
Both NG and NI tubes are usually used for less than 30 days.
Insertion of an NG tube requires clean gloves, whereas insertion of an NI tube requires sterile gloves.
NI tubes are used for patients with nasal problems such as nosebleeds or deviated septums. NG tubes are used for patients without nasal problems.
"To keep the patient from pulling the tube out as readily."
"Because placement must be verified by a chest x-ray, the guide wire is used to determine correct placement when it shows up on radiography."
"To serve as a guide to determine when the correct length of tubing has been inserted."
"Because feeding tubes are flexible, a guide wire or stylet is used to provide rigidity that facilitates positioning."
Instruct the patient to take small sips of water and swallow.
Auscultate over the carina.
Pull the tube back and attempt to reinsert.
Pull the feeding tube out and start over in the opposite naris.
In a high-Fowler's position
In a left lateral position
On the patient's right side
Lubricate the tip of the tube with water-soluble lubricant. Encourage the patient to breathe deeply through her mouth. Gently insert the tube into the nostril and advance it toward the posterior pharynx. Have her tilt her head forward and encourage her to drink water slowly. Advance the tube without using force as the patient swallows until the desired tube length is inserted. If, at any time, the patient experiences respiratory distress, is unable to speak, or has significant nasal hemorrhaging or if the tube meets resistance, stop advancing the tube and withdraw it.
The nurse aims back and down toward the ear.
The nurse dips the end of the tube into a glass of water.
The nurse advances the tube as the patient swallows.
The nurse has the patient flex the head as the tube is inserted into the naris.
Determine the length of the tube to be inserted by measuring the nasogastric tube from the tip of the patient's
to the tip of the
, then to the
选择要在Apple App Store上查看的Topgrade应用程序。