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Tech-Enteral Tubes (Gastric Intubation)
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Washing out of stomach with fluid and then aspirating it back out.
lavage
Administering fluid to the stomach, but not aspirating it back out.
gavage
What fluids are used?SCI
sterile crystalloid isotonic
What fluid can be used when it is mouth directly to stomach?
water
pertaining to intestine
enteric
by way of mouth
orogastric
administering air into the stomach
insufflation
What is the golden rule?
If the gut works use it.
Why is this the golden rule?
nutritional support is essential to healing
When is a parenteral route contraindicated?VNU
v+
non-functional GI tract
unconsciousness
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
When is emptying or gastric lavage of the stomach indicated?
in known cases of poisoning
When would relief of gaseous distention be needed?
gastric dilatation volvulus (GDV)
Name a gastric solution.
barium
Gastric intubation is a common method of administering what to dogs?
activated charcoal
What are the two types of activated charcoal?
plain (blue box)
w/ sorbitol (red box)
What should you warn the owner about after administering activated charcoal?
pet will have runny black feces
Another name for activated charcoal
toxiban
Who needs sedation for lavage?
both dogs and cats
Who needs sedation for gavage?
cats
What is used as a mouth gag/speculum to place the tube?
roll of tape
What is the proper name for a gastric tube?
orogastric tube
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
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
The smaller end of the tube goes into the
stomach
Pre-measure the length of the tube and mark it with tape. How do you measure?
tip of the nose to the 13th rib
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
When just placing a orogastric tube who needs sedation?
cats
What can happen if a patient is awake for lavage/gavage?
aspiration
v+
What should be done before removing the tube?
kink twice so that fluid does not leak out and aspirate the animal
With lavage a ET tube is often placed as well. Why?
sedation
prevent aspiration into the lungs
Where can the tube be palpated during placement?
dorsal to trachea
Where can the tube be seen during placement?
cervical area
Where is resistance met during placement? How do you overcome this?
cardiac sphincter
rotate and then push tube through
Where should the head be during gavage?Why
lowered off the side of the table
prevent aspiration
How often is gastric lavage repeated?
8-10times
This can be used instead of a syringe, but it doesn't work well for this procedure.
funnel
Is a high or low table preferred?
high
Gastric tubes are temporary how long are they in?
minutes to an hour
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Author
heather.dundas
ID
238331
Card Set
Tech-Enteral Tubes (Gastric Intubation)
Description
vti
Updated
2013-10-02T13:25:20Z
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