ENTERAL NUTRIRION TEST REVIEW MEDICAL EMERGENCIES TEST REVIEW
OVER ENTERAL NUTRITION KNOW THE DIFFERENCE BETWEEN A PEG
TUBE, J TUBE AND A NASOGASTRIC TUBE WHICH CAUSES ASPIRATION
WITH N.G TUBE etc
1. Know the difference between a PEG tube, J tube and a nasogastric tube
a. Peg Tube
i. Directly into the stomach
ii. Can last up to 1 year
b. J Tube
i. Jejunostomy Tube
ii. Goes into the small intestine
iii. Surgically inserted from the abdomen into the small bowel
c. NG Tube
i. Goes through the nose and into the stomach
2. Define Aspiration
a. Liquid in the lungs
b. Usually from choking on vomit
3. What causes aspiration with NG tubes?
a. Not sitting up straight
i. Elevated correctly
4. Why would a pt need an NG tube?
a. Inability to swallow
b. Inability to eat
c. Risk for aspiration
5. When to use Fowlers and High Fowlers with an NG tube pt
a. 90 degrees when inserting the tube
, b. 30-45 during feedings and after feedings for around 30 mins to an hour
6. How do you measure how far to insert the NG tube
a. Ear to nose to stomach
7. Checking the placement of the NG tube
a. Using a blue litmus paper to check the liquid to see if it is stomach
contents
b. X-ray although this is usually not used
c. The “whoosh” test
d. Bubbles at the end of the tube
e. No issues with the pt’s respiration
8. When do you insert 20 ml of air into the NG tube?
a. Before a feeding in order to make sure the food does not cause choking
i. Prevents aspiration
9. What do you do with the stomach contents after withdrawing them?
a. Return them back to the stomach
10. Calorie to ml ratio for tube feeding formulas
a. 1 calorie per 1 ml
11. How long should an open system hang?
a. No more than 4 hours
12. How often do you change the administration set and tubing?
a. 72 hours
13. How often should you check NG tube placement?
a. Insertion
OVER ENTERAL NUTRITION KNOW THE DIFFERENCE BETWEEN A PEG
TUBE, J TUBE AND A NASOGASTRIC TUBE WHICH CAUSES ASPIRATION
WITH N.G TUBE etc
1. Know the difference between a PEG tube, J tube and a nasogastric tube
a. Peg Tube
i. Directly into the stomach
ii. Can last up to 1 year
b. J Tube
i. Jejunostomy Tube
ii. Goes into the small intestine
iii. Surgically inserted from the abdomen into the small bowel
c. NG Tube
i. Goes through the nose and into the stomach
2. Define Aspiration
a. Liquid in the lungs
b. Usually from choking on vomit
3. What causes aspiration with NG tubes?
a. Not sitting up straight
i. Elevated correctly
4. Why would a pt need an NG tube?
a. Inability to swallow
b. Inability to eat
c. Risk for aspiration
5. When to use Fowlers and High Fowlers with an NG tube pt
a. 90 degrees when inserting the tube
, b. 30-45 during feedings and after feedings for around 30 mins to an hour
6. How do you measure how far to insert the NG tube
a. Ear to nose to stomach
7. Checking the placement of the NG tube
a. Using a blue litmus paper to check the liquid to see if it is stomach
contents
b. X-ray although this is usually not used
c. The “whoosh” test
d. Bubbles at the end of the tube
e. No issues with the pt’s respiration
8. When do you insert 20 ml of air into the NG tube?
a. Before a feeding in order to make sure the food does not cause choking
i. Prevents aspiration
9. What do you do with the stomach contents after withdrawing them?
a. Return them back to the stomach
10. Calorie to ml ratio for tube feeding formulas
a. 1 calorie per 1 ml
11. How long should an open system hang?
a. No more than 4 hours
12. How often do you change the administration set and tubing?
a. 72 hours
13. How often should you check NG tube placement?
a. Insertion
