NSG-320 Exam 3 exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
enteral nutrition - correct answer✔✔-Also called tube feeding
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-The administration of nutritionally balanced liquefied food through a tube inserted into the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
stomach, duodenum, or jejunum |||\\\ |||\\\ |||\\\
-Used with the patient who has a functioning GI tract but is unable to take any or enough oral
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nourishment, or when it is unsafe to do so |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Feedings can be started when bowel sounds are present, usually 24 hours after placement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Indications include those with: |||\\\ |||\\\ |||\\\
-Any condition that impacts ability to safely swallow
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Anorexia
-Facial features |||\\\
-Head/neck cancer |||\\\
-Neurologic or psychiatric conditions |||\\\ |||\\\ |||\\\
-Extensive burns |||\\\
-Critical illness |||\\\
-Chemotherapy
-Radiation therapy |||\\\
-Stroke
Delivery options include: |||\\\ |||\\\
-Continuous infusion by pump |||\\\ |||\\\ |||\\\
-Cyclic feedings by pump
|||\\\ |||\\\ |||\\\
,-Intermittent by gravity |||\\\ |||\\\
-Intermittent bolus by syringe |||\\\ |||\\\ |||\\\
-Critically ill patients often receive it through continuous infusion |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Intermittent feeding may be preferred as the patient improves or is receiving EN at home |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Aspiration Risk: |||\\\
-Ensure proper position of tube |||\\\ |||\\\ |||\\\ |||\\\
-Maintain head-of-bed elevation |||\\\ |||\\\
-Check gastric residual volume |||\\\ |||\\\ |||\\\
Client Position: |||\\\
-Patient should be sitting or lying with HOB at 30 to 45 degrees
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-HOB remains elevated for 30 to 60 minutes for intermittent delivery
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Proper patient positioning decreases the risk of aspiration.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-If you need to lower the head of bed for a procedure, return the patient to an elevated
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
position as soon as possible. |||\\\ |||\\\ |||\\\ |||\\\
-Follow institution policy for suspending feeding while the patient is supine.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Tube Position: |||\\\
-X-ray confirmation for new nasal or orogastric tubes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-To determine if a feeding tube has maintained proper position, mark the exit site of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
feeding tube at the time of the initial x-ray, and observe for a change in the external tube
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
length during feedings |||\\\ |||\\\ |||\\\
-Check placement before each feeding/drug administration or every 8 hours with continuous
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
feeds
-Check insertion length regularl |||\\\ |||\\\ |||\\\
,polyurethane or silicone tube - correct answer✔✔-Soft, long, small in diameter, and flexible, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
decreasing the risk of mucosal damage from prolonged placement |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Radiopaque
-Placement in small intestine decreases the chance of regurgitating gastric contents into the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
esophagus and subsequent aspiration. However, the patient can still aspirate gastric secretions |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
if the stomach is not emptying properly
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Stylet may be used for placement in a comatose patient because the ability to swallow is not
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
essential during insertion. A complication that can result from using a stylet is increased risk for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
perforation.
|||\\\
-Decreased likelihood of regurgitation and aspiration when placed in the intestine |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nasogastric and nasointestinal tubes - correct answer✔✔-Can clog easily when the feedings |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
are thick because of their small diameter
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-More difficult to use for checking residual volumes |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Partially prone to obstruction when oral drugs have not been thoroughly crushed and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dissolved in water before administration |||\\\ |||\\\ |||\\\ |||\\\
-Failure to flush the tubing after both drug administration and residual volume determinations
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
can result in tube clogging
|||\\\ |||\\\ |||\\\ |||\\\
-Can be dislodged by vomiting or coughing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Can be knotted/kinked in GI tract |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Problems with a tube may necessitate removal and insertion of a new tube, which adds to |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cost and patient discomfort |||\\\ |||\\\ |||\\\
gastrostomy and jejunostomy tubes - correct answer✔✔-May be used when a patient requires |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tube feedings for an extended time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Patient must have intact, unobstructed GI tract |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Can be placed surgically, radiologically, or endoscopically
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-The esophageal lumen must be wide enough to pass the endoscope for percutaneous
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
endoscopic gastrostomy (PEG) tube placement |||\\\ |||\\\ |||\\\ |||\\\
, Two Potential Problems:
|||\\\ |||\\\
-Skin irritation: skin assessment and care
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Pulling out of tube: teach patient/family about feeding administration, tube care, and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
complications
percutaneous endoscopic gastrostomy - correct answer✔✔-Gastrostomy tube placement via |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
percutaneous endoscopy |||\\\
-Using endoscopy, a gastrostomy tube is inserted through the esophagus into the stomach and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
then is pulled through a stab wound made in the abdominal wall
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Requires esophageal lumen wide enough for endoscope. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Because they require no general anesthesia and only minimum or no sedation of the patient,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
these techniques can be done at a lower cost.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-PEG tube and radiologically placed gastrostomy tube procedures have fewer risks than surgical
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
placement. The procedure requires IV sedation and local anesthesia. IV antibiotics are given
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
before the procedure. |||\\\ |||\\\
-Most PEG tube feedings can start within 2 hours of insertion
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
parenteral nutrition - correct answer✔✔-Administration of nutrients directly into the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
bloodstream
-Goal: meet nutritional needs and allow growth of new body tissue
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Customized to meet each patient's needs |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Common Indications: |||\\\
-Chronic severe diarrhea and vomiting |||\\\ |||\\\ |||\\\ |||\\\
-Complicated surgery or trauma |||\\\ |||\\\ |||\\\
-GI obstruction
|||\\\
-Intractable diarrhea |||\\\
-Severe anorexia nervosa |||\\\ |||\\\
answers
enteral nutrition - correct answer✔✔-Also called tube feeding
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-The administration of nutritionally balanced liquefied food through a tube inserted into the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
stomach, duodenum, or jejunum |||\\\ |||\\\ |||\\\
-Used with the patient who has a functioning GI tract but is unable to take any or enough oral
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nourishment, or when it is unsafe to do so |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Feedings can be started when bowel sounds are present, usually 24 hours after placement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Indications include those with: |||\\\ |||\\\ |||\\\
-Any condition that impacts ability to safely swallow
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Anorexia
-Facial features |||\\\
-Head/neck cancer |||\\\
-Neurologic or psychiatric conditions |||\\\ |||\\\ |||\\\
-Extensive burns |||\\\
-Critical illness |||\\\
-Chemotherapy
-Radiation therapy |||\\\
-Stroke
Delivery options include: |||\\\ |||\\\
-Continuous infusion by pump |||\\\ |||\\\ |||\\\
-Cyclic feedings by pump
|||\\\ |||\\\ |||\\\
,-Intermittent by gravity |||\\\ |||\\\
-Intermittent bolus by syringe |||\\\ |||\\\ |||\\\
-Critically ill patients often receive it through continuous infusion |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Intermittent feeding may be preferred as the patient improves or is receiving EN at home |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Aspiration Risk: |||\\\
-Ensure proper position of tube |||\\\ |||\\\ |||\\\ |||\\\
-Maintain head-of-bed elevation |||\\\ |||\\\
-Check gastric residual volume |||\\\ |||\\\ |||\\\
Client Position: |||\\\
-Patient should be sitting or lying with HOB at 30 to 45 degrees
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-HOB remains elevated for 30 to 60 minutes for intermittent delivery
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Proper patient positioning decreases the risk of aspiration.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-If you need to lower the head of bed for a procedure, return the patient to an elevated
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
position as soon as possible. |||\\\ |||\\\ |||\\\ |||\\\
-Follow institution policy for suspending feeding while the patient is supine.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Tube Position: |||\\\
-X-ray confirmation for new nasal or orogastric tubes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-To determine if a feeding tube has maintained proper position, mark the exit site of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
feeding tube at the time of the initial x-ray, and observe for a change in the external tube
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
length during feedings |||\\\ |||\\\ |||\\\
-Check placement before each feeding/drug administration or every 8 hours with continuous
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
feeds
-Check insertion length regularl |||\\\ |||\\\ |||\\\
,polyurethane or silicone tube - correct answer✔✔-Soft, long, small in diameter, and flexible, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
decreasing the risk of mucosal damage from prolonged placement |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Radiopaque
-Placement in small intestine decreases the chance of regurgitating gastric contents into the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
esophagus and subsequent aspiration. However, the patient can still aspirate gastric secretions |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
if the stomach is not emptying properly
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Stylet may be used for placement in a comatose patient because the ability to swallow is not
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
essential during insertion. A complication that can result from using a stylet is increased risk for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
perforation.
|||\\\
-Decreased likelihood of regurgitation and aspiration when placed in the intestine |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nasogastric and nasointestinal tubes - correct answer✔✔-Can clog easily when the feedings |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
are thick because of their small diameter
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-More difficult to use for checking residual volumes |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Partially prone to obstruction when oral drugs have not been thoroughly crushed and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dissolved in water before administration |||\\\ |||\\\ |||\\\ |||\\\
-Failure to flush the tubing after both drug administration and residual volume determinations
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
can result in tube clogging
|||\\\ |||\\\ |||\\\ |||\\\
-Can be dislodged by vomiting or coughing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Can be knotted/kinked in GI tract |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Problems with a tube may necessitate removal and insertion of a new tube, which adds to |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cost and patient discomfort |||\\\ |||\\\ |||\\\
gastrostomy and jejunostomy tubes - correct answer✔✔-May be used when a patient requires |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tube feedings for an extended time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Patient must have intact, unobstructed GI tract |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Can be placed surgically, radiologically, or endoscopically
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-The esophageal lumen must be wide enough to pass the endoscope for percutaneous
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
endoscopic gastrostomy (PEG) tube placement |||\\\ |||\\\ |||\\\ |||\\\
, Two Potential Problems:
|||\\\ |||\\\
-Skin irritation: skin assessment and care
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Pulling out of tube: teach patient/family about feeding administration, tube care, and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
complications
percutaneous endoscopic gastrostomy - correct answer✔✔-Gastrostomy tube placement via |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
percutaneous endoscopy |||\\\
-Using endoscopy, a gastrostomy tube is inserted through the esophagus into the stomach and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
then is pulled through a stab wound made in the abdominal wall
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Requires esophageal lumen wide enough for endoscope. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Because they require no general anesthesia and only minimum or no sedation of the patient,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
these techniques can be done at a lower cost.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-PEG tube and radiologically placed gastrostomy tube procedures have fewer risks than surgical
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
placement. The procedure requires IV sedation and local anesthesia. IV antibiotics are given
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
before the procedure. |||\\\ |||\\\
-Most PEG tube feedings can start within 2 hours of insertion
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
parenteral nutrition - correct answer✔✔-Administration of nutrients directly into the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
bloodstream
-Goal: meet nutritional needs and allow growth of new body tissue
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Customized to meet each patient's needs |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Common Indications: |||\\\
-Chronic severe diarrhea and vomiting |||\\\ |||\\\ |||\\\ |||\\\
-Complicated surgery or trauma |||\\\ |||\\\ |||\\\
-GI obstruction
|||\\\
-Intractable diarrhea |||\\\
-Severe anorexia nervosa |||\\\ |||\\\
