Let’S Go Tubing! Understanding Gi And Gu

Let’s Go Tubing! Understanding GI and GU Tubes! Tracey Siegel MSN RN CNE CWOCN

Objectives: ,[object Object],[object Object]

Nursing: it's like "totally tubular"

Is your patient "going down the tubes?"

Gastric Tubes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Gastric Tubes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Salem sump Levin

Evidence Based Nursing Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence Based Nursing Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gloves!!!

Gastric Tubes: small bore nasoduodenal or nasojejunal (Dobhoff) ,[object Object],[object Object],[object Object],[object Object]

Read More About It ,[object Object],[object Object]

Percutaneous endoscopic tubes (PEGS or PEJS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nasointestinal Tubes: Miller Abbot or Cantor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Rarely used- still see NCLEX questions

Sengtaken Blakemore Tube or Minnesota tube ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Care of patient with Blakemore tube ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Care of patient with T-Tube ,[object Object],[object Object],[object Object],[object Object],[object Object]

Best Practices and Evidence Based Care of Indwelling Urinary Catheters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Surgical Drains ,[object Object],[object Object],[object Object]

Immediately following a gastrectomy, a nurse in the recovery room notes blood clots in the patient’s nasogastric tube drainage. What should the nurse do? ,[object Object],[object Object],[object Object],[object Object]

After abdominal surgery, the client returns to the nursing unit with a nasogastric tube connected to low intermittent suction. The physician has ordered an antiemetic every 6 hours as needed. The client vomits. What is the first action by the nurse? ,[object Object],[object Object],[object Object],[object Object]

A nurse instructs the client who has a nasogastric tube (N/G) after colon resection that the tube will be removed after the client: ,[object Object],[object Object],[object Object],[object Object]

The nurse has inserted a nasogastric tube. How should placement be assessed? ,[object Object],[object Object],[object Object],[object Object]

The nurse is caring for a patient with a T-Tube. The tube has drained 300 ml over the past 24 hours. What should the nurse do? ,[object Object],[object Object],[object Object],[object Object]

A client is being discharged on bolus gastrostomy tube feedings. The nurse would be concerned if which of the following procedures by the client was observed? ,[object Object],[object Object],[object Object],[object Object]

A nurse has an order to remove an indwelling urinary catheter (foley). What is the most important nursing action prior to removal? ,[object Object],[object Object],[object Object],[object Object]

Let’S Go Tubing! Understanding Gi And Gu

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