Complex Exam 3 - acute nutritional support Flashcards
What should be done before an initial enteral feeding?
abdominal x-ray
How long should you listen to bowel sounds in each quadrant with enteral feedings?
1 full minute in each
How can the stability of an enteral feeding tube be assessed?
by looking at the marker outside of the tube
How long should glucose checks be done for enteral feedings?
for the first 24 hours
What should the head of the bed be raised to during feedings?
30-45
Should feedings be left on when the patient is supine?
NO
When should an enteral feeding tube be flushed?
- before and after feedings
- q 4-6 h
How can enteral feedings cause diarrhea?
incorrect concentration of feedings
How can diarrhea from enteral feedings be treated?
by increasing fiber and fluids
What can enteral tube displacement cause?
aspiration pneumonia
If a patient is experiencing aspiration pneumonia, what should be done?
- STOP feeding
- suction with patient on side
- provide O2
- auscultate breath sounds
- get a CXR
What VS increase should be monitored with aspiration pneumonia?
temperature
When should enteral tube patency be checked?
- q 4 h
- before and after feedings
How often should enteral tube placement be checked?
q shift
How can you tell if the enteral tube is in the stomach (gastrostomy)?
pH <4
