ATI: ENTERAL TUBE FEEDING Exam
Study Guide
Duodenum - answer✔✔the first or proximal portion of the SI extending from the pylorus of the
stomach to the jejunum
INSERTING FEEDING TUBES - answer✔✔...
enteral nutrition - answer✔✔-helps meet the calorie and protein requirements of patients who
cannot consume an adequate amount of food
before inserting an NG tube check the patient for - answer✔✔nasal problems such as nosebleeds,
nasal polyps, chronic sinus infection, oral/facial surgery or past hx of aspiration or anticoagulant
therapy =contraindications
assess the patients - answer✔✔-nares, have them plug one nare at a time and assess patency
-test the gag reflex to eval ability to swallow
-asucultate patients lung and abdominal sounds
measure NG tube how? - answer✔✔from tip of nose to ear lobe to xiphoid process
-add 20-30 cm if inserting to duodenum or jejunum
after tube placement... - answer✔✔-check the pH along with the color and consistency of fluid
-pH is around 1-4 if pt has fasted for at least 4 hours .. stomach contents is grassy green, off
white or tan with the consistency of water
-intestinal fluid is ph higher than 6 and will appear light to golden yellow or brownish green with
a syrup consistency DT prescience of bile
-respiratory fluid is clear with a pH above 7
-check x ray for tube placement prior to tube feeding
if unable to obtain fluid when aspirating, - answer✔✔turn the patient from side to side
*important to note the color and constancy of the fluid
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 8:36 PM
residual from a tube feeding is - answer✔✔-10-450 ml from stomach
-0-10 ml from intestinally placed
ADMINISTERING ENTERAL TUBE FEEDING - answer✔✔...
4 types of enteral tube formula - answer✔✔-polymeric
-modular
-elemental
-specialty
polymeric= - answer✔✔delivers 1-2kcal/ ml and require that patients can absorb whole nutrients
modular formulas= - answer✔✔contains single macronutrients (protein, glucose, polymer lipids)
and not nutritionally complete
-deliver 3.8-4.0 kcal/ml
elemental formulas= - answer✔✔predigested nutrients, making it easier for a partially
dysfunctional GI tract to absorb them
-provide 1-3kcal/ ml
specialty formulas= - answer✔✔-1-2 kcal/ml
-designed to meet specific nutritional needs RT illness such as liver failure, pulmonary disease,
DM , HIV
small bore feeding tubes require a _____syringe to prevent the tubing from collapsing -
answer✔✔50-60 ml
prepare formula by - answer✔✔-having it at room temp
-check integrity
-check exp date
-elevate HOB 30 degrees or higher
general amounts of flush solution used= - answer✔✔6 French 1.5 to 5 mL water
8 French 5 to 10 mL water
10 French 10 to 20 mL water
>12 French 30 mL water