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Pediatrics.Ch.22.

Nutrition, Digestion, Elimination

QuestionAnswer
What is a gastrostomy Opening into the stomach to introduce food through the abdominal wall by means of a surgically placed tube or button
Which patients need sterile equipment for gastrostomy tube feeding Preterm and Newborn
How should a child be positioned for gastrostomy tube feeding Flat or with HOB slightly elevated
What amount of residual requires modification of feeding amount 10 – 25 ml/newborns, 50 ml/older children
What are the steps for gastrostomy feeding Position, Residual & Placement, Attach & Fill syringe, remove Clamp, Elevate receptacle, Add formula before empty, Clamp or Raise, Fowler’s, Hands, Document
What can overloading the stomach of a gastrostomy fed patient cause Reflux, Aspiration
What action is taken if too much residual is in the stomach before feeding Formula reduced by amount of residual or Delay feeding
If ordered, how much water is typically used to flush the tube 15 – 30 ml
What is documented regarding gastrostomy feeding Type, Amount and Character of residual, How tolerated, I&O
What indicates that a gastrostomy tube has slipped through the pylorus into the duodenum Brown or green drainage
What does brown or green drainage from a gastrostomy tube indicate The tube has slipped through the pylorus into the duodenum
What can happen if a gastrostomy tube slips through the pylorus into the duodenum Obstruction
What is different than adults in administration of an enema to a child Type, Amount, Distance, More easily perforated bowel
What is used for a child’s enema Isotonic/Saline solution
Why is tap/plain water contraindicated for children’s enemas Plain water is hypotonic to the blood and could cause a rapid fluid shift and overload if absorbed through the intestinal wall
What are guideline ranges for the amount of enema fluid administered to a child 50ml/infants – 750ml/adolescent
How far is a child’s enema tube inserted 1 – 4 inches
Created by: futurenurse
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