Enteral Medication Administration Flashcards
what supplies do you need for enteral med admin
irrigation tray kit calibrated medication cup sterile water clean gloves three way adaptor pill crusher
when should sterile water be replaced
discarded every 24 hours
when preparing med admin what 5 steps are done in med room
obtain medication perform HH crush medications retain original label for scanning at bedside transport meds to room in labeled bag
if medication is indicated for admin on empty stomach when should you stop feeding
30 minutes prior to administration and resume 30 minutes after
what are the universal competencies
introduce self HH identify pt assess allergies teach patient
what should you scan in the room before ever administering meds
scan armband to verify eMAR
scan medication label to verify eMAR
what should you auscultate before giving meds
bowel sounds
follow tube _______ to point of ______ and ensure tube is labeled
connection; origin
what amount of sterile water should you mix crushed meds SEPARATELY with
15 mL
when giving anything enterally where should the HOB be raised
30 degrees or higher
how do you verify tube placement before use
measure length of external portion
flush with 15 mL of air
aspirate contents to observe
measure residual
if residual is greater than 300 what do you do
return 150 mL of residual and hold feeding for 2 hours
when you have verified correct tube placement what do you do
flush with 30 mL of sterile water remove plunger and attach syringe to adaptor pour dissolved meds flush with 15mL between meds after final med flush with 30mL of water
after giving medication enterally how long should you leave HOB raised
for 30 minutes
