Tech-Enteral Tubes (Gastric Intubation)

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Author:
heather.dundas
ID:
238331
Filename:
Tech-Enteral Tubes (Gastric Intubation)
Updated:
2013-10-02 09:25:20
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vti
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vti
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  1. Washing out of stomach with fluid and then aspirating it back out.
    lavage
  2. Administering fluid to the stomach, but not aspirating it back out.
    gavage
  3. What fluids are used?SCI
    sterile crystalloid isotonic
  4. What fluid can be used when it is mouth directly to stomach?
    water
  5. pertaining to intestine
    enteric
  6. by way of mouth
    orogastric
  7. administering air into the stomach
    insufflation
  8. What is the golden rule?
    If the gut works use it.
  9. Why is this the golden rule?
    nutritional support is essential to healing
  10. When is a parenteral route contraindicated?VNU
    • v+
    • non-functional GI tract
    • unconsciousness
  11. Indications for gastric intubation:E/G,R,S,A
    • emptying/gastric lavage
    • relief of gaseous distention
    • short term admin of nutrients
    • admin of gastric solutions
  12. When is emptying or gastric lavage of the stomach indicated?
    in known cases of poisoning
  13. When would relief of gaseous distention be needed?
    gastric dilatation volvulus (GDV)
  14. Name a gastric solution.
    barium
  15. Gastric intubation is a common method of administering what to dogs?
    activated charcoal
  16. What are the two types of activated charcoal?
    • plain (blue box)
    • w/ sorbitol (red box)
  17. What should you warn the owner about after administering activated charcoal?
    pet will have runny black feces
  18. Another name for activated charcoal
    toxiban
  19. Who needs sedation for lavage?
    both dogs and cats
  20. Who needs sedation for gavage?
    cats
  21. What is used as a mouth gag/speculum to place the tube?
    roll of tape
  22. What is the proper name for a gastric tube?
    orogastric tube
  23. The tube obviously needs to be lubricated, but what extra step is taken for a new tube?
    take a lighter to the edge so it is not so rough
  24. You should use a large-bore tube. What does this mean?
    the tube should be the same size or larger than an ET tube you would use for that animal
  25. The smaller end of the tube goes into the
    stomach
  26. Pre-measure the length of the tube and mark it with tape. How do you measure?
    tip of the nose to the 13th rib
  27. What 2 things happen if the tube goes too far?
    • perforation of stomach
    • tube hits stomach wall and does a 180 turn to come back out the esophagus
  28. When just placing a orogastric tube who needs sedation?
    cats
  29. What can happen if a patient is awake for lavage/gavage?
    • aspiration
    • v+
  30. What should be done before removing the tube?
    kink twice so that fluid does not leak out and aspirate the animal
  31. With lavage a ET tube is often placed as well. Why?
    • sedation
    • prevent aspiration into the lungs
  32. Where can the tube be palpated during placement?
    dorsal to trachea
  33. Where can the tube be seen during placement?
    cervical area
  34. Where is resistance met during placement? How do you overcome this?
    • cardiac sphincter
    • rotate and then push tube through
  35. Where should the head be during gavage?Why
    • lowered off the side of the table
    • prevent aspiration
  36. How often is gastric lavage repeated?
    8-10times
  37. This can be used instead of a syringe, but it doesn't work well for this procedure.
    funnel
  38. Is a high or low table preferred?
    high
  39. Gastric tubes are temporary how long are they in?
    minutes to an hour

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