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how a salem sump works

by Abbey Stehr I Published 1 year ago Updated 1 year ago
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What is the purpose of a Salem sump? A double-lumen nasogastric tube with an air vent, used to drain gastric or refluxed intestinal secretions or ingested air. The vent protects against damage to the gastric mucosa while facilitating drainage. Can you feed through a Salem sump? NG tubes are also available in a larger diameter (e.g., Salem sumps).

The smaller vent lumen allows for atmospheric air to be drawn into the tube and equalizes the vacuum pressure in the stomach once the contents have been emptied. This prevents the suction eyelets from adhering to and damaging the stomach lining.

Full Answer

How do you use Salem sump NG tube?

3:467:29Salem Sump™ Tube with Kangaroo™ Multi-functional Port with ENFit ...YouTubeStart of suggested clipEnd of suggested clipTo check residuals with Salem sump tube with kangaroo multifunctional port attach the end of an endMoreTo check residuals with Salem sump tube with kangaroo multifunctional port attach the end of an end fit syringe into the feed medication port with a push and quarter twist gently.

How do you unclog a Salem sump?

1:022:44How to Unclog Your Feeding Tube with Shield HealthCare's ... - YouTubeYouTubeStart of suggested clipEnd of suggested clipIf the clog doesn't release right away clamp the tube and let the water sit in there for 5 to 15MoreIf the clog doesn't release right away clamp the tube and let the water sit in there for 5 to 15 minutes if you can see the clog massage. That part of the tube gently with your fingertips.

Is a Salem sump the same as an NG tube?

Nasogastric Tubes The Salem Sump tube is the most commonly used nasogastric tube (NGT) in the emergency department (ED). The Salem Sump is a double-lumen tube with multiple distal suction eyes. The second lumen allows venting during suction, which prevents invagination and subsequent gastric injury.

What is a Salem sump NGT?

A Salem sump tube is a double lumen NGT with an air vent (blue pigtail), which allows atmospheric air to enter the patient's stomach so the tube can flow freely, thus preventing the NGT from adhering to and damaging the gastric mucosa. The large port is the main suction and aspiration tube.

Can you put meds down a Salem sump?

Salem-sump: is a two-lumen nasogastric/orogastric tube. The dual lumen tube allows for safer continuous and intermittent gastric suctioning. The large lumen allows for easy suction of gastric contents, decompression, irrigation and medication delivery.

How do you know if your feeding tube is blocked?

0:093:53Unclogging a Feeding Tube - YouTubeYouTubeStart of suggested clipEnd of suggested clipYou will know that it is clogged if you go to flush your tube with water and it does not go throughMoreYou will know that it is clogged if you go to flush your tube with water and it does not go through or.

What is the blue tube for in a Salem sump NG tube?

7. If using Salem sump, the blue pigtail or air vent should be positioned above the level of the stomach to avoid back flow of stomach secretions. An anti-reflux valve is attached to the blue pigtail to prevent gastric contents from seeping out. 8.

What are the 2 types of nasogastric tubes?

Nasogastric tube of proper diameter. Two types of NG tubes are in common use—the single-lumen tubes (Levin) and the double-lumen sump (Salem's sump) tubes. The single-lumen tubes are best for decompression, and the double-lumen sump tube is best for continuous lavage or irrigation of the stomach.

How long is a Salem sump?

Ordering informationNon-ENFit® codeENFit® codeLength88882680608888268060E24" (61 cm)88882680868888268086E24" (61 cm)8888264911*8888264911E*36" (91 cm)88882649298888264929E48" (122 cm)3 more rows

What is difference between Dobhoff and NG tube?

Smaller bore tubes that are weighted on the tip for ease of passage are called Dobhoff tubes. The NGT is inserted through the nostril into the pharynx, through the pharyngeal esophageal segment (PES) into the esophagus, and finally through the lower esophageal segment into the stomach.

How often does an NG tube need to be changed?

Home care: Placing the tube Your child's NG tube needs to be replaced every 14 days. (If your child pulls the tube out before then, you'll need to reinsert it.

When should an NG tube be removed?

Once the NG tube output is less than 500 mL over a 24 hour period with at least two other signs of return of bowel function the NG tube will be removed. Other signs of bowel function include flatus, bowel movement, change of NG tube output from bilious to more clear/frothy character, and hunger.

Can you give tube feeds through a Salem sump?

At that time, Salem Sump nasogastric tubes were a reasonable choice for enteral nutrition because they have an air vent to facilitate gastric aspiration, and enteral feeding can be provided through the tube when suction is not being applied.

What is difference between Dobhoff and NG tube?

Smaller bore tubes that are weighted on the tip for ease of passage are called Dobhoff tubes. The NGT is inserted through the nostril into the pharynx, through the pharyngeal esophageal segment (PES) into the esophagus, and finally through the lower esophageal segment into the stomach.

What is the purpose of NG tube?

A nasogastric tube (NG tube) is a special tube that carries food and medicine to the stomach through the nose. It can be used for all feedings or for giving a person extra calories. You'll learn to take good care of the tubing and the skin around the nostrils so that the skin doesn't get irritated.

What is a peg in medical terms?

A PEG (percutaneous endoscopic gastrostomy) feeding tube insertion is the placement of a feeding tube through the skin and the stomach wall. It goes directly into the stomach. PEG feeding tube insertion is done in part using a procedure called endoscopy. Feeding tubes are needed when you are unable to eat or drink.

What is a Salem sump?

Salem Sump is a trade name for a type of large bore NG tube typically used for suctioning gastric contents. There are 2 lumens to the thing. One larger one that is clear that you'll hook up to suctioning, and a blue one that is a vent port. Sometimes these tubes come with a one way valve. Other times you get the one way valve in a separate package.

What is the difference between a Levin tube and a Salem sump?

The actual tubing is referred to as lumen. The Levin tube is a one-lumen nasogastric tube. The Salem-sump nasogastric tube is a two-lumen piece of equipment; that is , it has two tubes. The Levin tube is usually made of plastic with several drainage holes near the gastric end of the tube.

Why do you clamp off the port?

Clamping off the port defeats the puprpose of using the Salem sump. Many people clamp this off because of back flow. Sometimes the back flow of gasrtic contents up the "blue" side is because of insufficient suction or the use of intermittant suction. There is a "anti-reflux" valve that should be used on the "blue" vent side.......I have seen some places that don't buy the valve because like everything else....it costs money.......very little money....but money none the less. Clamping it won't "hurt the patient" per se although there has been documentation that the use of a "Salem" NGT causs less trauma to the stomach lining.

Can a Salem sump be clamped?

Everything says that the Salem sump cannot be clamped externally, which makes sense because this defeats the purpose of that lumen, but they don't mention anything about using the Salem sump to clamp off the primary lumen. Thanks for your help! Specializes in Cardiology and ER Nursing. Has 8 years experience.

Can a Salem sump be clamped externally?

I have scoured the internet and textbooks for an answer. Everything says that the Salem sump cannot be clamped externally , which makes sense because this defeats the purpose of that lumen, but they don't mention anything about using the Salem sump to clamp off the primary lumen. Thanks for your help!

How do sump pumps work?from amfam.com

Sump pumps are typically located in the lowest portion of a home or building and are designed to prevent flooding after storms and heavy rainfall . Pits beneath the structure collect water.

What is the discharge pipe on a sump pump?from amfam.com

The sump pump discharge pipe takes water from the pit and deposits it outside. It must be carefully placed to ensure that the water does not rush back to the foundation. These pipes also need a check valve to keep the water flowing out, not back in. Inside the sump pump is a motor with a fan-like device that pushes water out through the pipe.

How to keep a water pump from freezing?from amfam.com

Unplug your pump before you handle it or stick your hand in the hole . Pull out the pump and check the inlet screen and the fan-like impeller for debris. If there is any, clear it away. Make sure the drain hose is connected, and that it’s not blocked or frozen. Keep it afloat.

What to do if your discharge pipe is running inside?from amfam.com

If it’s running inside but nothing is coming out, your discharge pipe needs attention. Flush the discharge pipe. The testing portion above should flush your discharge pipe in normal situations. But sometimes larger rocks or twigs can get caught in the pipe and cause a blockage.

How to stop a pump from clogging?from amfam.com

Clear any debris, mud or rocks that you find — this helps prevent clogs. If the top of the water looks greasy or like there’s an oil slick, you might have issues with your pump’s motor. Take a closer look. Unplug your pump before you handle it or stick your hand in the hole.

Why is my basement wet?from amfam.com

Floods aren’t necessarily the only reason why you might have a wet basement. Damp air and moisture on the walls and floor can signal an issue with ground water. You live in a flat or low-lying area. These areas tend to naturally collect water and if the soil doesn’t drain well, you’re at risk for flooding.

What happens if the soil doesn't drain well?from amfam.com

These areas tend to naturally collect water and if the soil doesn’t drain well, you’re at risk for flooding. Lots of rain and snow. If you happen to live in an area that experiences a seasonal influx of rain or snow, then there’s a good chance you’ll face water concerns at some point. Basement living space.

How long does it take for sumup to process?

Once you’ve received a customer payment, SumUp will process your transaction within 1-2 business days and transfer the amount directly to your bank account after subtracting the SumUp fee. Click hereto see what minimal costs are associated with being a SumUp merchant and click hereto learn more about payouts.

How to activate SumUp account?

To activate your account through the SumUp App, log in to the app using the email address and password you signed up with. If you haven’t downloaded our app yet and need help, here’sa little guide on how to download the SumUp App.

How to use SumUp Pro card reader?

Using the touchscreen, enter the email address and password associated with your SumUp Profile. You can use the numerical keypad on the device to enter numbers. The card reader should now sync your account information. This process usually takes ~2 minutes. Once complete, you can start accepting card payments with your SumUp Pro Card Reader.

How to charge SumUp card?

Open and sign into the SumUp App, and you will see the Checkout screen. Type in $1.00 on the keypad, and press "Charge". Your device will then start to scan for the card reader and once found, the reader will turn on automatically and the blue lights will begin to blink.

How to connect a SumUp card reader?

(This can be located on the back of your card reader). Tap “Connect”. Simply confirm the Bluetooth connection by pressing the green checkmark on your app screen (SumUp Lite) or card reader (SumUp Plus), and you have successfully connected!

How to get a card reader for Sumup?

1. Set up your card reader. Go to sumup.com > Click Get Your Card Reader. Enter your email address and create a password > Click Continue. This will be the official email address for your account, so please make sure this is an account you will have regular access to.

What is the phone number for Sumup?

If you experience any issues, call our SumUp Support team Monday-Friday between 9 am - 7 pm EST at 1-888-250-2164, or get in touch anytime by email ([email protected]).

What is a sump pump?

A sump pump is a small pump installed in the lowest part of a basement or crawlspace.

How much horsepower does a sump pump have?

Horsepower: Sump pumps are commonly one-quarter to one-third horsepower .

What kind of battery does a sump pump use?

Sump pumps with backup battery power are also commonly available. The backup power comes from a car battery -- or even better, a deep cycle boat battery. Most of the systems charge the batteries while the power is on, ensuring the battery is fully charged in the event of a power outage.

What is the purpose of a flat screen sump pump?

A flat screen or grate covers the bottom of the pump to keep out debris. When the pump turns on, water is sucked up through the grate and routed into the pipes and out of your home. The other common type of sump pump is the pedestal pump. Pedestal pumps look something like a long stick with a fat head.

How many watts does a sump pump need?

Some homeowners use backup gasoline or diesel generators to provide their own electricity in the event of a power outage. Since a small sump pump needs 800 to 100 watts to operate and can draw up to 1,800 watts when starting, a backup generator needs to be sized properly and, of course, well maintained.

What is the head pressure of a sump pump?

Head pressure: Head pressure is the height a pump can raise water. For example, a pump with head pressure of 12 feet (3.7 meters) can raise water to that height, minus about 10 percent for physical limitations like bends in pipes. The pump you choose must be able to lift water out of the sump pit and up to the outlet pipe.

What is pedestal pump?

The pedestal keeps the pump out of the pit, away from the water even when the pit is full. An inlet pipe reaches down into the bottom of the pit to draw the water out. Since the motor and pump are out of the water, pedestal pumps are usually louder -- but less expensive -- than submersible pumps.

How Do Aquarium Sumps Work?

Sumps work by having water drain down from the main aquarium via a weir and overflow section and into the sump. The water then passes through the filtration in the sump before being pumped back up to the main aquarium.

Why do we need a sump?

Having a sump allows you more space to add additional filter media to help control parameters like nitrates and phosphates. Chemical media can be placed into mesh bags or media reactors that can hang on the side of the sump.

What Is An Aquarium Sump?

In its most basic form, a sump is an additional tank, vessel, or container that sits outside of the aquarium. The sump can be a simple single chamber container or a purpose-built tank with multiple chambers that each have a specific purpose.

What Is The Recommended Flow Rate Through An Aquarium Sump?

The main purpose of the sump as we described earlier is to house equipment and provide greater water volume. The two main pieces of equipment that are installed in most sumps are the Protein Skimmer and Heater/s. The idea is to find a return pump that matches the recommended flow rate of the protein skimmer.

How much flow rate should a protein skimmer have?

The protein skimmer will have an optimum flow rate that it was designed for and most aquarists recommend anywhere from 3x – 5x your tank capacity through your sump every hour.

Why do you need a compact sump?

For those owners that have a Cube-Shaped aquarium or are tight on space, having a compact sump allows for all the efficiency of the larger sumps but in a more compact space.

How does the return pump work in an aquarium?

As the water gets pumped back into the main aquarium, it passes through a weir and drops into the overflow section. This is what keeps the water level in the main aquarium constant.

How does a sump pump work?from freshwatersystems.com

Sump pumps move water from your basement out of your home. A sump is a naturally constructed pit, usually a hole carved below the main surface of your basement floor. This pit, known as a basin, holds the sump pump. The pump is equipped with valves that sense escalating water levels or pressure. When the water gets too high, sump pumps automatically pump excess water out of the basement and away from your property using a discharge line. This line, called an effluent, connects the sump pump to a designated drainage area.

How do I know if I need to replace my sump pump?from freshwatersystems.com

If your sump pump is making loud noises, running for an unusually long amount of time, cycling irregularly, or is older than ten years, it is very likely you are due for a sump pump replacement.

Why is my sump pump float switch jammed?from freshwatersystems.com

The float switch can also become jammed if the sump pump shifts within the basin and the float switch becomes pressed against the walls of the pit.

Why does my sump pump keep running?from freshwatersystems.com

Float switches are lightweight devices that will rest on the surface of the rising water. Once the water in the basin reaches a predetermined height, the switch will alert the pump to begin displacing the floodwaters. If this float switch becomes tangled in wires or pipes or jammed by debris, it will be signaling the pump that there are elevated water levels perpetually. The float switch can also become jammed if the sump pump shifts within the basin and the float switch becomes pressed against the walls of the pit. A stuck float switch will keep the pump running constantly, forcing the pump to exert an unsustainable amount of effort. The strain placed on the motor by this will cause failure far before the designed lifespan of the pump. If you hear your pump running perpetually, it is wise to quickly identify the root of the issue before your pump wears out entirely.

How much does a submersible sump pump cost?from freshwatersystems.com

Generally, a basement submersible sump will cost anywhere from $100-$400 depending on the horsepower and flow rate, with $500-$1000 prices for sump pumps with commercial uses. Below is a list of considerations for calculating the cost of a sump pump in your home:

Why does my sump pump fail?from freshwatersystems.com

Sump pumps can fail due to installation, machine, and lifespan errors. If you are installing the pump yourself, make sure you are familiar with the process. The money you save doing it yourself is nowhere near the money you will lose in water damage if you install it incorrectly. Also, pump errors can result from continuous cycling or switches that get stuck on or off. Lastly, sump pumps like any machine, have a lifespan which is often between 7 to 10 years depending on the amount of usage.

Why are submersible pumps quieter?from freshwatersystems.com

Because submersible pumps are completely submerged in the water basin, they are often quieter, save space in your basement, and clog less than a pedestal. However, due to the effects of water submersion, they may not last as long as other sump pumps. This is still the best option for homes with major flooding concerns.

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1.Salem Sump™ Tube | Cardinal Health

Url:https://www.cardinalhealth.com/en/product-solutions/medical/enteral-feeding/gastrointestinal-products/nasogastric-tubes/salem-sump-tube.html

20 hours ago  · Salem sump tube a double-lumen nasogastric tube used for suction and irrigation of the stomach. One lumen is attached to suction for the drainage of gastric contents and the …

2.Salem Sump™Tube with Anti-Reflux Valve | Cardinal Health

Url:https://www.cardinalhealth.com/en/product-solutions/medical/enteral-feeding/gastrointestinal-products/salem-sump-tube-with-anti-reflux-valve.html

11 hours ago This prevents the suction eyelets from adhering to and damaging the stomach lining. What is the purpose of a Salem sump? A double-lumen nasogastric tube with an air vent, used to drain …

3.Salem sump NG tube - General Nursing, Support, Stories

Url:https://allnurses.com/salem-sump-ng-tube-t381343/

2 hours ago  · Salem Sump is a trade name for a type of large bore NG tube typically used for suctioning gastric contents. There are 2 lumens to the thing. One larger one that is clear that …

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