Alternative Nutrition and Hydration

supplemental, alternative

nonoral feeding can be ____ or ____

10, 10

aspirating > ___% of all consistences despite use of techniques and/or >___ seconds to swallow a single bolus

nasogastric

pharyngostomy

esophagostomy

gastronomy

jejunostomy

types of feeding tubes (5)

NG tube

usually temporary 2-4 weeks

placed through nose, pharynx, and esophagus to stomach

pharyngostomy tube

hole from the skin to the pharynx

more comfortable and appealing than NG tube

esophagostomy tube

hole from the skin to the esophagus

tube enters esophagus and stomach

PEG, percutaneous endoscopic gastronomy

A G tube is also called a ___ tube, which stands for____

PEG tube

tube from external opening in abdomen to stomach

most common for long term needs

performed surgically

higher risk of infection and reflux

J tube

placed through an external opening in abdominal wall, entering the jejunuma

more expensive due to specialized liquid nutrition

below

the J tube enters the digestive tract ____ the stomach

Total parenteral nutrition (TPN)

intravenous nutritional feedings

Nissen Fundoplication

surgical procedure designed to prevent reflux

twists the top of the stomach around LES