The groups were not similar in their type of feedings. The control group had a greater number of feedings noted. The experimental group only had 13 breast fed, 17 bottle fed, and 2 that participated in…
Along with investigating a patient’s symptoms the procedure it used to identify ulcers, cancer, gastroesophageal reflux disease (GERD), inflammation or swelling, anemia and through biopsy samples, diagnose cancer, celiac disease, and gastritis. In some instances, the procedure will be used to treat bleeding ulcers with an electrical probe which will stop the bleeding, dilate strictures with a small balloon passed through the endoscope, and remove objects or food that maybe stuck in the upper gastrointestinal tract. The overall objective for the gastrointestinal endoscopy is so that the doctor can look at the lining of the patient’s esophagus, stomach, and duodenum for normal or abnormal findings. In order to perform an upper gastrointestinal endoscopy an endoscope will be used. An endoscope is a long flexible tube with a light and camera at the end of it, which sends visual feed back to a monitor. In order to obtain biopsy samples or stop bleeding, tiny tools are passed through the endoscope. Before the endoscope is inserted into the patient’s esophagus, they will be instructed to gargle a liquid anesthetic to suppress their gag reflex. Through out this procedure, the patient will be intravenously sedated while their vitals are being monitored. The patient is normally awake during the procedure but they can also sleep through it if they wanted…
..Hold feed for care and turning. (laying the pt. flat changes gravity and the stomach content ability to aspirate)…
After your baby is eating well, the stomach tube and IV tube can be taken out.…
Set up a chest tube drainage system – fill the water seal to 2 cm and the suction to the ordered level, obtain appropriate size chest tube trocars (28 and 32 F is my guess for this lady and situation), obtain thoracotomy tray (chest tube insertion tray) found in ER, ICU, and materials management department which can be retrieved by the nursing supervisor.…
Nasogastric (NG) tube placement is a common procedure done in pediatric and neonatal patient care settings. However, there is little research that exists in today’s vast amount of medical information that conclusively proves the safest and most accurate way to verify placement. Although there have been several research and antidotal studies done, dating back as early as the 1980’s that have questioned the safety of solely using the auscultation of air in the abdomen to verify correct placement it is still considered the gold standard of practice, and the vast majority of clinical nurses utilize this practice everyday in practice. In 2009, the Pediatric Nursing Journal published an article authored by Michelle Farrington and Cheryl Lang titled, “Nasogastric Tube Placement and Verification in Pediatric and Neonatal Patients.” This article reports an evidence-based practice project using the Iowa Model of Evidence-Based Practice in Midwestern Children’s hospital to implement standards of care and avoid future inconsistencies in nursing practice to provide the best patient outcomes.…
When a patient is unable to make decisions for himself or herself, their caregivers and those who know them are appointed to make the decisions based on what the patient would have wanted. This is called surrogate decision making. According to the article Terri Schiavo and End-of-Life Decisions “when surrogate decision makers and caregivers cannot agree upon what that choice would have been, they may turn to the courts to determine either what the now-incapacitated patient would have chosen or who is best suited to choose as the patient would have” (Mathes, 2005)…
The first device is an oral endotracheal Tube (oral ET-tube). It consists of a thin-walled tube with a balloon near the distal end that seals the airway and a connection on the proximal end, which enables connection to resuscitation devices. The tube is inserted past the patient's epiglottis, through the patient's vocal chords using a laryngoscope. The laryngoscope is an "L" shaped tool with a light source at the end that is used to lift and open the patient's epiglottis so that the practitioner can visualize the ET tube passing through the vocal chords into the trachea.…
When a patient cannot control their airway, or cannot perform the act of respiration without assistance, the need for endotracheal intubation may arise. The practice of endotracheal intubation has been shown to provide a safe and patent airway, which can be mechanically ventilated when necessary. The use of an endotracheal tube also protects the patient by preventing aspiration when used correctly, and provides an extra rout for medication administration. The use of endotracheal tubes is very common, and provides many advantages in patient care. Tracheal tubes are not without fault though as unwanted side effects can occur. In more severe circumstances injury or exacerbation of the patient’s condition can also occur.…
1.1 Explain the anatomy and physiology of the gastrointestinal tract in relation to extended feeding.…
The discussion on Patrick Dismuke's condition concentrated on his incapability to improve. After reviewing his symptoms and considering possible scenarios resulting from certain kinds of treatment, such as the tube that delivered nutrients into his veins that "broke the barrier between blood and air" and became "a bacteria-laden Trojan horse, opening the door to infection", we attempted to come to a consensus on what would constitute a quality life, as deliberated among the committee. We took into consideration that after every kind of surgery, his status would be temporarily improved but ultimately decline in keeping with his body's proclivity. We acknowledged that the idea of a successful stomach transplant was remote since, as described, it had only been performed in Russia and a few times in Canada on animals; in addition, Patrick was short of being physically capable in dealing with this sort of procedure.…
What are the treatments to evacuate the stomach? How would the nurse perform these techniques?…
Normal feeds are started again shortly after the operation. Most babies recover quickly and have no further problems.”…
Lewis defines dysphagia as “any impairment in eating, drinking or swallowing” (p.1029, 2010) and it is a serious problem which can lead to numerous negative consequences including weight loss, dehydration and aspiration (Touhy & Jett, 2010, p.120). Patient with this problem lose their appetite and refuse to eat because they experience pain or discomfort while swallowing. As a result, patients with dysphagia become malnourished, and they need to be placed on IV solution or on GT feeding in order to provide them with essential nutrients thereby helping them maintain a healthy body weight.…
A nasogastric tube is inserted to a patient for medical administration, feeding and for drainage of gastric content, it is very commonly be used in the ward, especially for critically ill patients in acute care ward and the Intensive Care Unit (ICU). And according to our previous knowledge, we have learnt several methods to check the correct placement of the nasogastric tube inserted, which includes using the pH paper to test the acidity of the gastric content aspirated. And the other ways are using chest X-Ray in the ward,this is also the most reliable method to assure the correct placement of NG tube. And lastly is by auscultation (listening to the pop-sound of the stomach when air is injected through the NG tube).…