Shared Flashcard Set

Details

PAMercer nasogastric tube placement
NG tubes
14
Health Care
Graduate
08/01/2010

Additional Health Care Flashcards

 


 

Cards

Term
Indications for gastric feeding tube
Definition
feeding, gastric decompression, gastric lavage, gastric suction, small bowel decompression with incompentent pylorus, gastric analysis, dx of upper GI bleed, prevention of vomiting and aspiration during anesthesia, dx of perforation
Term
contraindications of nasogastric tube 
Definition
esophageal obstruction; choanal (nasal passage) atresia, esophageal stricture or atresia, facial trauma or basilar skull fx, esophageal burn, stupor or coma, hiatal hernia and esophagitis, Zenker's diverticulum, recent esophageal surg or gastrojejunal anastomoses
Term
complications of NG tube 
Definition
passage into trachea, access into lungs, coiling pharynx, penetration of brain (NEVER place tube in facial trauma placement---think WWSTD), turbinate trauma, gastric erosion with hemorrhage, erosion or necrosis of nasal mucosa, apsiration pneumonia, sinusitis
Term
NG tube size for neonates, infants, patients with sinus or esophageal problems 
Definition
3- 8 Fr
Term
nl NG tube size
Definition
10-18 Fr 
Term
Levin tube
Definition

Single lumen NG tube

most COMMON

perforated tip

10 Fr to 28 GFr  (usu. use 14/16/18 Fr

radioopaque markings 

Term
Salem Sump
Definition

Double lumen

smaller tube acts as air-intake vent

good for irrigating and lavage (doesn't collapse easily)

clears with air injection and reposition

radioopaque markings

Term
Cantor
Definition

single lumen intestinal tube

rubber balloon tip partially filled with liquid mercury

gravitates in the small bowel with peristalsis (don't tape to nose)

decompresses distal bowel obstruction

have pt lie on R side, helps entry into small intestine

Term
Miller-Abbot
Definition

double lumen intestinal tube

long with rubber balloon at tip

one lumen for aspiration; another to balloon

inflate with 5-10 cc of ir; inject 2-3 mL mercury and aspirate air 

Term
Sengstaken-Blakemore
Definition

triple lumen

exclusively for tamponade of esophageal varices

1st lumen-aspirationa

2nd lumen-gastric balloon

3rd- esophageal balloon 

 

Term
Minnesota tube
Definition
like S-B but with 4th lumen for esophageal balloon
Term
Sump Pumps
Definition
NG tube with mutliple openings on distal length when irrigate or evacuate large amts of fluid from the stomach 
Term
feeding tube: Keogh type
Definition

weighted end

wire stylet

placed in duodenum to prevent regurg (gavage)

any adult or geriatric NG tube for feeding 

Term

orogastric tube:

Ewald

Definition

ER settings for stomach pumping

placed through mouth not nose

large

aspirate lg particulate matter such as tablets  in OD

lavage=comobo of serial litigation following by aspiration

not more than 300 cc (10 oz) of warm nl saline or sterile water at a time 

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