FUNDS CHECK OFF TERMS

NGT measurement

nose to ear to xiphoid process

NGT placement verification

X-ray is the gold standard for initial placement

Gastric pH

Less than 5 is a good indication that the NG tube is in the stomach

NGT insertion position

High-Fowler's position

NGT aspiration response

If the patient coughs O2 saturation drops or CO2 increases withdraw the tube to the posterior nasopharynx until normal breathing resumes

NGT insertion direction

Aim the tube back and down toward the patient's ear

NGT swallowing

Advance the tube as the patient swallows

NGT head position

Flex the head toward the chest after the tube passes through the nasopharynx

NGT suction

Usually low intermittent suction

NGT head of bed

Keep the head of bed 30 to 45 degrees preferably 45 degrees after placement

Salem sump blue pigtail

Air vent that must remain above the stomach and must not be clamped or connected to suction

Female straight cath position

Dorsal recumbent

Female catheter cleaning

Outer labia then inner labia then urethral meatus using front-to-back strokes

Female catheter cleaning hand

Non-dominant hand separates the labia and maintains that position throughout the procedure

Female catheter cleaning supplies

Use a new cotton ball or swab for each wipe

Female catheter holding distance

Hold the catheter 7.5 to 10 cm from the tip

Female catheter insertion

Advance until urine flows

Male straight cath position

Supine

Male catheter penis position

Hold the penis at a right angle to the body

Male catheter cleaning

Clean from the meatus outward in a circular spiral pattern

Male catheter cleaning repetitions

Repeat the cleaning three times using a new cotton ball or swab each time

Male catheter holding distance

Hold the catheter 7.5 to 10 cm from the tip

Male catheter advancement

Advance approximately 17 to 22.5 cm

Male uncircumcised patient

Retract the foreskin before cleaning

Tracheostomy suction pressure

80 to 150 mmHg for an adult

Tracheostomy catheter insertion

Insert without suction until resistance is met or the patient coughs

Tracheostomy catheter after resistance or cough

Pull the catheter back approximately 1/2 inch

Tracheostomy suction technique

Apply intermittent suction while slowly withdrawing and rotating the catheter

Tracheostomy between suction passes

Allow time between passes and encourage deep breathing and coughing