Term
| How often is a gastrostomy tube changed? |
|
Definition
|
|
Term
| Four reasons you may need a jejunal/gastrojejunal tube |
|
Definition
recurrent aspiration pneumonia
severe gastroesophageal reflux disease
gastric outlet obstruction
poor gastric emptying |
|
|
Term
| Three kinds of complications |
|
Definition
vomiting
diarrhea
re-feeding syndrome (once you've been malnourished its hard to give you food again) |
|
|
Term
| Three mechanical complications |
|
Definition
displacement
breakage
occulsions |
|
|
Term
| do you add medications to the formula in the feeding container? |
|
Definition
|
|
Term
| do you give medications together? |
|
Definition
| NO, give them each separately using a syringe |
|
|
Term
| When do you flush tube with water |
|
Definition
| always flush with water before, after and between medications |
|
|
Term
| What form of medication do you administer? |
|
Definition
| liquid form when available. may need to be dilated. |
|
|
Term
| What kind of tablets do you crush? |
|
Definition
| immediate release tablets, do not crush enteric coated or time released tablets |
|
|
Term
| Why don't you put dressings on? |
|
Definition
| risk of fungal infections |
|
|
Term
| How many hours do you put formula in the bag? |
|
Definition
|
|
Term
|
Definition
| before, after and between meds and feeding. |
|
|
Term
|
Definition
| inserted from abdominal wall directly into the stomach while patient is sedated. |
|
|
Term
|
Definition
| tube that goes through nose or mouth down into the stomach. |
|
|
Term
| 3 rules with gastrostomy tubes |
|
Definition
avoid dressings
keep site clean and dry
avoid ointment |
|
|
Term
| How soon after placement of gastrostomy can patient bath, swim, lay on abdomen? |
|
Definition
|
|
Term
| Mic-Key Low Profile Gastrostomy |
|
Definition
Used in children receiving long term feeling
considered a skin level device
small silicon device protrudes from abdomen to increase comfort and motility in child. Easy to care for and can be fully submersed in water. |
|
|
Term
| Mic-Key with extension set |
|
Definition
like mic-key but has longer tubing that may have separate medication port.
Also considered skin level device. |
|
|
Term
| Filling the retention Balloon of gastrostomy tube |
|
Definition
| use sterile or distilled water. Ballon is inside stomach, holds the tube in place when inflated and filled with water. To remove or add water, use syringe. Check volume of balloon weekly |
|
|
Term
|
Definition
| used during feeding to regulate the volume and rate of feeding. |
|
|
Term
|
Definition
| vomiting diarrhea refeeding syndrome |
|
|
Term
| 3 mechanical complications |
|
Definition
displacement
breakage
occlusion |
|
|
Term
| What is granulation tissue and why does it occur |
|
Definition
| causes red skin around tube. happens because tube stimulates inflammation of tissues. These tissues bleed easily and crease an increase in mucus causing tube to leak. |
|
|
Term
| Treatment for granulation tissue |
|
Definition
| chemical cauterization. chemically burning tissue by topical application of silver nitrate sticks. |
|
|
Term
| How to prevent granulation tissue |
|
Definition
| make sure tube fits well and is stabilized. this area should be washed with soap and water every single day. |
|
|
Term
|
Definition
| occurs with tube migration. due to overgrowth of gastric mucosa over teh bumper on gastrostomy tube. Tube migrates between stomach wall and skin. |
|
|
