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Gastrointestinal Tubes
  • Nasogastric- temporary
  • Gastronomy PEG- surgically placed tube
  • Jujunostomy- placed in jejunum
solutions
  • Blenderized: put in blender; natural foods
  • Polymeric: Ensure, milk base or lactose free
  • Monomeric: Formula; partially digested/broken down easily absorbed
Methods of Delivery
  • Bollus: all at once
  • Intermittent Drip: going through a pump over a couple hours
  • Continuous: Usually through a pump slow drip
Complications of Etereal Nutrition
  • tube may slip out
  • blockage
  • infection at site
  • too much
  • wrong formula
  • not enough water
  • weight loss
Administering a tube Feeding
  • obtain baseline weight, vitals and labs
  • raise HOB at least 30 degrees
  • assess tube security and placement; markings, aspiration of secretions and re-installment, check pH 6 or <
  • Assess tolerance to feedings; check residuals
  • flush tube
  • before administering feeding check exp. date, warm feeding to room temp.
  • Hang bag about 12 inches above insertion point, clamp tubing and add formula and then purge the tubing
Adminster a tube Feeding cont'd
  • attach to patient tubing and regulate the drip rate
  • if syringe system; clamp tubig and add feeding to syring, unclamp and slowly let in feeding
  • remain in fowlers position for at least 30 mins
  • monitor urine output and bowel sounds and vitals
  • free water
  • change feeding bad daily
  • always endure client safety and comfort
  • dont forget to document
Enteral Medications
  • most drugs administered orally can be given enterally
  • med is diluted w/ water
  • placement of tube is confrimed (aspiration method, pH <6 or Xray is done)
  • med is delivered via gravity
  • flushed w/ water
  • do not insert large amounts of air.
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