Different Types of Enteral Tubes --- NCLEX Nursing Review скачать в хорошем качестве

Different Types of Enteral Tubes --- NCLEX Nursing Review

In this video, I will review the different types of enteral tubes. Whether you are a nursing student or a beginner new grad, I hope this video will help you prepare for your nursing school entrance and exit exams (ATI, TEAS, HESI), and NCLEX. Make sure to check out my "NCLEX Qbank" questions with answers and strategies. 00:19 Indications of enteral tubes 00:25 Gastric decompression 00:36 Enteral feeding 01:15 NGT vs PEG tubes 01:50 Salem Sump 02:24 Levin tubes 02:25 Dobhoff tubes 03:17 PEG tubes/G tubes 04:05 PEJ tubes 04:24 GJ tubes Study guides: https://www.etsy.com/shop/SimplyRN?re... What is an NG tube in nursing? NG tube indications and contraindications NG tube types and sizes Nasogastric tube indications What are the 3 commonly used types of enteral tubes? what is the difference between a G-tube and a PEG tube? What is the difference between G-tube and NG tube? what is the least invasive feeding tube? Transcript Welcome to Simply RN. Today we will go over the different types of enteral tubes. Enteral means involving or passing through the GI system. Enteral tubes are tubes that are placed into the GI tract, usually in the stomach, duodenum, or jejunum. There are two main indications for enteral tubes: gastric decompression or enteral feeding. Gastric or stomach decompression is a medical term that refers to removing stomach contents by using suction. It usually helps to relieve nausea and vomiting caused by bowel obstruction. Enteral feeding is the delivery of nutrition and medications directly into the GI tract via enteral tubes. Enteral feeding is indicated in patients with a functional GI tract who cannot tolerate oral intake. For example, patients who are in a coma, have decreased level of consciousness, or are alert but severely malnutritious may receive enteral feeding for nutrition support. Patients with dysphagia or difficulty swallowing who cannot safely swallow due to for example, stroke, head and neck cancer, esophageal cancer, and etcetera. There are two common routes of enteral tubes: nasogastric tube or NG tube and percutaneous endoscopic gastrostomy or PEG tube. The main differences between the two is that NG tubes are for short term use, usually less than 4 weeks and are inserted by nurses at bedside, while PEG tubes are for long term use and are inserted via endoscopy by a clinician. As the name suggests, nasogastric tubes are inserted through a nostril into the esophagus and end up in the stomach. There are two types of NG tubes: double lumen and single lumen. Salem sump is a double lumen NG tube placed for gastric decompression. It is larger and more rigid. One lumen is connected to suction for decompression while the other lumen, usually blue in color, acts as a sump that allows air to enter the stomach to reduce the negative pressure created by the suction, and therefore, to prevent the suction lumen from sticking to the stomach wall. The sump should never be clamped, connected to suction, or used for irrigation. Single lumen NG tubes are smaller in diameter and more flexible. Examples are Levin tubes and Dobhoff tubes. Levin tubes are simple single lumen tubes that are used for various purposes, including suction, irrigation, and enteral feeding. Dobhoff tubes, on the other hand, are used for enteral feeding and medications only. Dobhoff tubes have a guidewire, called a stylet, that helps to facilitate insertion and is removed afterwards. Dobhoff tubes also have a weighted tip at the end of the tube for post-pyloric insertion. Post-pyloric means the tubes are advanced beyond the pyloric sphincter into the duodenum or jejunum. You may have heard them referred to as nasoduodenal tubes, ND tubes, and nasojejunal tubes, NJ tubes. That concludes nasogastric tubes which are for short term use. If a patient requires long term enteral nutrition support, a percutaneous endoscopic gastrostomy may be placed. PEG tubes are placed via an endoscopy and a small incision, called a stoma, that is made in the stomach through the skin, and the feeding tube is secured and comes out of the stoma so that it provides a direct percutaneous access to the stomach. As the name suggests, PEG tubes end in the stomach, and they are used to deliver nutrition and also in some cases, they are also used for gastric decompression and are referred to as Venting G-tubes. Venting G-tubes are usually palliative and help to relieve symptoms like nausea, vomiting, and abdominal discomfort caused by malignant bowel obstruction or other GI issues. Venting G tubes are connected to a drainage bag when in use and the extra gastric contents are drained by gravity. .....