9 G Gastric feedings

What are possible reasons someone cannot eat food through their mouth

Dysphagia

Cancer

Trauma

Digestive tract disease

Enternal nutrition

Giving nutrients into the gastrointestinal tract intestinal tract through a feeding tube

Nasojejunal tube

Inserted to the nose and end in the second portion of the small Intestine jejunum

Gavage

The process of giving a tube feeding

Lavage

Taking out a tube

Tube feeding ps replace what?

They replace or supplement normal nutrition

Naso-gastric tube

The tube is through the nose and into the stomach

Naso-enteral tube

Feeding tube is inserted through the nose into small bowel

Gastrostomy tube

Doc creates an opening in the stomach & the tube is inserted then sutured in

Jejunostomy tube

Feeding tube inserted in surgically made opening in the sejunum (s.intestine)

What is the most common tube placement for seniors?

PEG tube

What is the PEG tube

Percutaneous endoscopic gastrostomy tube - inserted endoscopically through nose, into stomach, pokes through the stomach, leaving the tube in the stomach

Doctors order for feeding tubes

Type of formula , the amount given, and when to give feedings

Scheduled feedings

Feedings are given at specific times

How many feedings a day?

@Least 4 a day

Syringe or feeding bag

8-12 oz in 30 min

Patent

Open

How are continuous feedings given?

Over a 24 hour period w/ a pump or per gravity

Can a person w/a feeding tube eat or drink?

Usually no

Feeding tubes cause?

-Irritation, press. On nose, change nostril shape, cause pressure injuries

parenteral feeding goes into?

Veins not digestive system

What is used instead of formula for parenteral feedings?

Fluid with vitamins, minerals

What is another name for parenteral feedings?

Total parenteral nutrition or hyperalimentation

When is TPN used ?

The person cannot receive oral or enteral feeding

Oval or enteral feedings are not enough to meet the person's needs

When to report to nurse for parenteral nutrition?

Fever, chills, signs of infection

Signs and symptoms of sugar imbalance

Chest pain

Difficult breathing or shortness of breath

Cough

Nausea vomiting

Diarrhea

Thirst

Rapid or irregular heart rate

Weakness or fatigue

Sweating

Pallor, pale skin

Trembling

Confusion or behavior changed

What is NOT connect about enteral feeding?

It goes in the vein

Where is the feeding tube located in a g-tube?

Stomach

You enter patient’s room during her normal internal feeding. Which bad position would you expect to see her in during this time?

Fowler’s

TPN

Total parenteral nutrition

In administering TPN, where would you expect to see this tube inserted?

Vein

You enter your patient's room during TPN administration. She is hyperventilating and sweating. What is your FIRST action?

Call out the door for a nurse to come immediately

You enter your patient's room during gastric feeding. You notice the bed is in a supine position and she is vomiting up the feeding-fluid.  What is your first action?

Put the head of the bed up or put her on her side

Nasoduodenual tube

Inserted through nose, ends in the duodenum

Bypass stomach

help residence who have stomachs that do not empty well, experience chronic vomiting or aspirate stomach contents into their lungs.