Reference no: EM133241699
Enteral feeding- NG tube- intermittent via pump
A patient has had a CVA and, as a result, is unable to swallow. To meet her nutritional needs, the patient has a NG tube. The physician is hopeful that the patient will regain the ability to swallow within the next few weeks so has elected not to put in a PEG tube at this time.
Dr. Order reads: 250ml of Jevity Q4h. Check residuals Q4h and notify physician if greater than 100ml. Flush tube with 60ml water before and after each feed. (assume patient has an existing NG tube)
1. Before beginning, explain to the patient what is going to occur and arrange the required supplies.
2. Check tube placement to be certain that tube is in the stomach.
3. How will the nurse assess that the GI tract is functioning?
4. What does it mean to "check residuals"? Is this done before or after feedings? What will the nurse do with the aspirated contents? If the residual is greater than 150 mL, what does this mean?
5. How is patency of the tube maintained? How much water is used?
6. What position is optimal to avoid aspiration?
7. When administering tube feedings, how is air prevented from entering the patient's stomach?
8. The patient has now been tolerating the feedings well. What rate, and over what time period should the feeds be set at?
9. How will the nurse 'flush the tube' after the feeding?
10. Can the patient return to a supine position after the feeding? Why or why not?
11. How can the nurse assess whether the patient is tolerating the tube feeding well?
12.How will care differ if the patient has a PEG tube inserted?
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Enteral feeding-ng tube- intermittent via pump
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