Blue Pigtail Case Study

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1. Based on the nurse’s report, what signs of bowel obstruction does A.G. manifest? a. Intermittent abdominal pain; nausea; vomiting; abdominal distention/swelling. 2. Are there other signs and symptoms that you should observe for while A.G. is in your care? b. SBO: Diarrhea, constipation, and inability to pass gas or have a bowel movement. c. Complications: peritonitis (abdominal pain or tenderness; distention; fever; N/V; anorexia; diarrhea; decreased UOP; fatigue); signs of infection (temperature, inflammation, WBC count, etc.) 3. While A.G. is on the way, you secure the hospital’s interpreter service on the telephone. A.G. arrives on your unit with her grandson. You admit A.G. to her room and introduce yourself…show more content…
Patient’s nostrils, pharynx, oesophagus, cardiac sphincter, stomach. 11. A.G’s grandson asks you, “What is the blue thing at the end of the tube? Shouldn’t it be connected to something?” How do you answer? t. Blue Pigtail is an air vent that allows atmospheric air to enter the patient’s stomach so that the tube can float freely, which prevents the NGT from adhering to and damaging the gastric mucosa. 12. What comfort measures are important for A.G. while she has the NGT? u. Provide oral hygiene as necessary or requested (q1hr); Ensure nostrils are clear of dried secretions; Apply lubricant to prevent rubbing/complications; Change positions frequently, but not to pill on the tube; Encourage to report complaints of sore throat, encourage fluid intake if they can have it. 13. You note that A.G.’s NGT has not drained in the last 3 hours. What can you do to facilitate drainage? v. Ensure it is placed correctly, check tubing and suctioning set (if hooked); Reposition the patient to a Semi-Fowler’s position; Flush tubing to remove blockages. 14. The NGT suddenly drains 575 mL; then drainage slows down to about 250 mL over 2 hours. Is this an expected…show more content…
Which laboratory values are of concern to you? Why? y. Sodium: may be an indication that the patient is not getting adequate absorption required. SBO’s may cause severe fluctuations in F&E balances. z. Potassium: may be an indication that the patient is not getting adequate absorption required. SBO’s may cause severe fluctuations in F&E balances. This may further complications related to the patient’s heart rhythms. {. Chloride: may be an indication that the patient is not getting adequate absorption required. SBO’s may cause severe fluctuations in F&E balances. |. Carbon Dioxide: May be an indication that the SBO is affecting the diaphragm and CO2 exchange within the lungs. (Complication of upper SBO.) }. BUN: Kidneys are no longer processing your waste, indicating that the SBO may have moved or caused obstructions in other areas. It could also be an indication the patient is not getting adequate fluids and may be dehydrated. ~. Creatinine: Kidneys are no longer processing your waste, indicating that the SBO may have moved or caused obstructions in other areas. It could also be an indication the patient is not getting adequate fluids and may be

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