Tube Training
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Перевести · 13.04.2012 · G tube training 1. Placed when oral intake is notadequate to meetNutritional Goals 2. • Provide nutrients …
https://www.freeriderhd.com/t/684457-tube-training
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Перевести · 17.01.2014 · Das Fitness Tube ist ein idealer Trainingsbegleiter. Es ist nicht nur praktisch, da es leicht verstaut und quasi überall mit hingenommen werden kann, sondern auch extrem funktionell und effektiv. Das Gummiband kann allgemein zur Steigerung der Fitness und zum Training der Muskeln wie mit Hanteln , Seilzug oder Kettlebell genutzt werden.
https://scotland.swagelok.com/en/Training
Перевести · Swagelok Scotland provides a wide range of training course plus bespoke packages to meet your training needs. Swagelok are an approved provider of ECITB Small Bore Tubing (SBT) training …
www.rn.org/courses/coursematerial-98.pdf
Avoid dependent loops in the patient tubing since they can impede drainage from the chest. The chest tube should not be clamped during patient movement, ambulation, or during trips to other parts of the hospital. Clamping the chest tube …
https://en.wikipedia.org/wiki/Vactrain
Перевести · A vactrain (or vacuum tube train) is a proposed design for very-high-speed rail transportation. It is a maglev (magnetic levitation) line using partly evacuated tubes or tunnels. …
https://m.youtube.com/watch?v=o9zCgPtsups
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G tube training
1. Placed when oral intake is notadequate to meetNutritional Goals
2. • Provide nutrients for normal organ function• Proper growth and development• Protection from disease• Part of a daily routine
3. • Unable to swallow normally• Inadequate oral nutrition• Can be Permanent or Temporary
4. • Congential Anamolies – Esophageal fistula/Tracheoesophageal fistula – Cleft lip/palate – Intestinal Atresia’s – Gastroschisis• Genetic/Chronic illness – Down’s Syndrome Congenital heart disease – Failure to Thrive Recurrent aspiration pneumonia – GERD Oral aversion – Cystic fibrosis Transplant – Cancer
5. • Gastrostomy ( G-Tube)• Nasogastric/Nasojejunal• Transgastric-jejunal• Jejunal
6. • “Gastro” meaning stomach• “Ostomy” meaning opening• Gastro+ostomy= simply an opening into the stomach
7. • Three components present – Internal portion • Mushroom • Balloon • Dome • Cross • Collapsible ring – External portion – Feeding connector• Tubes can differ at all three places• Catheter Tube/Low profile button
8. • Buttons – American Medical Technology (AMT) – Wilson Cook Device• Catheter – Malecot
9. • Button – AMT balloon button – Mickey balloon button• Catheter tubes – Mic Tube – Foley Tubes
10. • Button – Bard Button – Genie button• Catheters – Bard-Ponsky – Genie Peg
11. • Nutriport• Entristar
12. • Straight Adapter• Right Angle Adapter• Genie Adapter• Corpak
13. • Mix formula and pour total amount to be given into a graduate/if using a pump use a feeding bag.• Put on your gloves.• Drape the towel over the consumer’s abdomen next to the gastrostomy.• Clamp the tube prior to pouring it in the bag if giving pump feeding. Prime the tubing (sometimes done by the pump itself).• If using a pump, hang bag on the pole and thread the tubing through the pump.• consumer should be upright at least 30 degrees.
14. • Prime the feeding adapter with formula or water• Close the clamp• Attach the Feeding extension/adapter to button/ g-tube• Open the clamp• Tube should be flushed with warm water prior to beginning feedings using a syringe
15. • Connect the syringe to the extension/adapter for bolus or the feeding bag tubing for continous/gravity feedings.• Open clamp and allow to flow either turning on the pump or pouring formula into the syringe.• If using gravity formula should not go in faster than over hour dependant on amount to be infused.• When formula complete then flush with warm water to clear the tubing.• Close the clamp and disconnect the tubing.• Close the the gastrostomy.
16. • Flushing should be done before and after medication administration, and feedings. This will keep the tube from becoming clogged• Wash out rinse or wash out your tubing with each feeding• Some doctors recommend keeping the tubing in the refrigerate to prevent bacterial growth• If tubing becomes cloudy can use a 3:1 water/vinegar solution to clean tubing• Tubing should be changed every week
17. • If the gastrostomy has a side port for medication administration, this port should be used• Check with parent/guardian on which medications can be crushed to put down the tube• Check with parent/guardian on how much water to mix with medications• Be sure to flush before and after each medication• Check with parent/guardian before mixing medications together
18. • Mouth care is extremely important with Individuals not taking in oral nutrition. – Brush teeth twice daily as you normally would – Keep mouth moist with swabs – Can use mouthwash to swish and spit – Use lip balm to avoid chapped lips
19. • Constipation • Site is red/itchy with• Diarrhea raised rash.• Nausea • Site is irritated/draining• Dehydration • Granuloma• Fluid overload • Tube is accidentally• Aspiration removed• Clogged tube • Bleeding/Hematochezia• Leaking at the site • Potential developmental delay
20. Causes Treatments• Clamped tube • Check the clamps to make• Kink in the tubing or the sure all are open tube • Use the syringe plunger to• Dried formula/medication give to give a brief pulsing blocking the tube type method • Instill a small amount of carbonated drink or seltzer water. Clamp the tube for 30 minutes and then flush using the pulsing method • Flush with water followed by air after each feeding
21. Causes Treatments• Balloon/mushroom has moved • Gently pull back on the tube to away from the stomach wall ensure that the• Balloon has lost water balloon/mushroom is up against• Stoma has become larger the stomach wall (usually from excessive • Check the amount of water in movement of the tube) balloon at least weekly. It should• Increased pressure in the be 5 ml for most of the balloons stomach from air, delayed • Stabilize the tube with gastric tape, barrier emptying, coughing, constipati • Vent the tube before and after on feedings• Tube diameter is too small • Monitor stools• Perpendicular positioning of the • Maintain the tube in the upright tube is not maintained position using tape to secure if• Valve is defective necessary • Change the tube
22. • Know what type and size of • How to mix formula and tube consumer has measure formula• Understand feeding • Signs and symptoms of schedules/oral feedings dehydration• Understand how to use • Teach oral care and dental equipment care• What and Who to call for • Skin care problems • Tube care• Know name and phone • Emotional support numbers of family, physicians, and supervisor
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