enteral medications - foster Flashcards
nasogastric
NG, through nose
closed system
bag you never open
open system
long term, nutrition solution prepared by nurse at bedside
open system
long term, nutrition solution prepared by nurse at bedside
types of infusion [4]
continuous, cyclic, intermittent, bolus
continuous nutrition
constant
continuous nutrition administered over ____________ period
24 hr.
a patient on continuous nutrition has to have a bed at
30 degrees
cyclic nutrition is often administered at
night
what do you flush with at the end of cyclic nutrition period
30 mL of sterile water
what do you flush with at the end of the cyclic nutrition period
30 mL of sterile water
how many feedings are recommended with intermittent nutrition
4-6 feedings
how long is intermittent nutrition administered
at least 30 mins
bed position of intermittent nutrition
HOB up at least 1 hour after each feeding
How is bolus nutrition administered
a syringe into the stomach by gravity
high risks for enteral nutrition
diarrhea, nausea, gas, constipation, dehydration, hyperglycemia, aspiration
signs and symptoms of aspiration
cough, shortness of breath, gurgling, raspy voice
what do you do if aspiration is suspected
stop feeding, make sure bed is elevated, turn on right side, notify physician, check placement
why would you do a gastric residual check
to make sure the patient is absorbing liquid
how much residual is concerning
500 mL or more
before proceeding a feed what should you assess
GI system- bowel sounds
step one of checking placement
verify tube placement
what temperature is the nutrition bag
room temperature
step 2 of checking placement
aspirate to assess tube patency
step 3 of checking placement
measure contents and return
step 4 of checking placement
flush with 30 mL sterile water
step 5 of checking placement
document
how do you check exact tube placement
x-ray
nursing interventions/care
monitor, I&O, daily weight, oral care, accu-checks
always assess _______
tubes
