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11 Cards in this Set
- Front
- Back
assess
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type of tube used for enteral feeding
ng, g, j tube |
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elevate..
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pt's head of bed
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verify
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tube placement and measure residual
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aspirate
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gastric secretions with syringe, noting volume and pH
return aspirated contents and flush with 30 mL of water |
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if aspirate volume is more than 100 mL
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d n return contents
hold feeding and notify md (or per policy) |
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if pH suggests improper placement of tube
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hold feeding and notify md
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initiate feeding
intermittent feeding: obtain desired amt of formula (room temp) if using a feeding bag.... |
place formula in bag and prime tubing
attach distal end of tubing to porximal end of feeding tube adjust rate of flow with roller clamp or a feeding pump infusion time varies depending on volume |
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initiate feeding
intermittent feeding: obtain desired amt of formula (room temp) if using a syringe |
remove barrel of syringe and insert syringe tip into feeding tube.
Pour desired amt of formula in upright syringe held 12 to 18 in above insertion site allow formula to low in by gravity |
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initiate feeding
intermittent feeding: obtain desired amt of formula (room temp) upon completion of feeding, follow with... |
30 mL flush of water (or as specified) and clamp tubing
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initiate feeding
continuous feeding: |
Pour formula (no more than volume to be delivered in 4 hr) in feeding bag and prime tubing. connect tubing through feeding pump and attach distal end of tubing to proximal end of feeding tube. Set hourly rate and befin infusion. if new feeding, gradually work up to target infusion rate. flush tube with 30 mL of water q 4-6hr
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monitor for complications
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intolerance of feeding (nausea, fullness, gastric residual more than 100mL)
aspiration of formula diarrhea more than 3 times in 24 hr hypergylcemia (monitor glucose) fluid imbalance (monitor i and O) |