NUR 340L Lecture 6: Nursing Care of the Gastrointestinal Client
Document Summary
Complete blood count (obstruction, peritonitis, gi bleed) Basic metabolic panel (kidney function, electrolyte abnormality) Liver function test (lft): alkaline phos, bilirubin, ast (aspartate aminotransferase: gall bladder stones, infection, hepatic damage. Urinalysis (and culture prn: uti, pyelonephritis. Keofeed, nasogastric lavage tube (salem sump), dobhoff feeding tube. Tip of nose -> to ear lobe -> to xiphoid process. May add up to 6 inches longer (15cm) for placement near the bottom of the stomach (on adult) Aspirate contents of stomach: check color, volume, gastric: cloudy, tan, green, off white (large volume) Intestinal: clear, yellow to bile colored (small volume) Ph of aspirate: gastric: 1-5 lungs: 7 or more. Bolus feeding continuous feeding types of feeding. High fiber or residual free low glycemic index standard: whole proteins (milk, meat, eggs) Hydrolyzed: partially digested proteins for patients with ibd, cf, pancreatic disorders. Change tubing/feeding as per policy: replace all equipment every 24 hours.
