enteral nutrition- admin: Lab

Question 1

history

Answer 1

for cardiac, hepatic, renal, and pulmonary disease. conditions that affect GI absorption, metabolic rate and fluid status, food
allergies, and enteropathy.

Question 2

Review before

Answer 2

1.meds,
2.anthropometric measurements, including weight, length or height, head circumference
3.body mass
index (children 2 years of age or older), and skin folds. Plot these values on the appropriate growth chart for
the child’s age and gender.
4. Assess GI tract function, including abdominal examination results and function.
5. As appropriate, assess oral feeding behaviors, including the ability to tolerate oral stimulation.
6. Assess fluid balance, caloric needs, and enteral formula goals with a dietitian if available.
7. Ensure that the proper placement of an orogastric, nasogastric, gastrostomy tube, gastrojejunostomy tube, or
postpyloric feeding tube is verified.

Question 3

verify

Answer 3

practitioner’s order for enteral feedings, ensuring that the order includes the type of formula, the
volume to be delivered, the rate or duration of infusion, the route, and the frequency of feedings.

Question 4

gastric feedings

Answer 4

elevate the head of bed at least 30 to 45 degrees. If the child must be supine, monitor
closely for aspiration; consider using a postpyloric feeding tube.

Question 5

actual feeding procedure

Answer 5

1.Close the clamp on the enteral feeding bag, and pour up to 4 hours of room-temperature formula or breast
milk into the bag. If a syringe is used for continuous enteral feedings, draw up to 4 hours of room-temperature
formula or breast milk.
2. Place the bag on the IV pole and prime the tubing, purging the system of air. If a pump is used, load the
administration set into the enteral feeding pump. If a syringe is used for continuous enteral feedings, attach
the distal end of the syringe to the feeding tubing, prime the tubing with formula, and purge the system of air.
Load the syringe into the infusion pump.
3. Label the enteral feeding bag and administration set with the child’s name, type of formula, the amount of
formula, delivery site, and the date and time it is prepared and started.
Flush the feeding tube with water. Flush the tube with the lowest volume to clear the tube. To reduce
excessive free water use, limit volumes of flush to 1 to 3-ml in neonatal patients and 3 to 5 ml in children.
4. Connect the feeding bag set to the distal end of the feeding tube.
5. Begin the infusion. Offer infants a pacifier to satisfy oral needs.

Question 6

For continuous feedings by way of a feeding pump,

Answer 6

set the prescribed infusion flow rate for continuous

feeding and start the infusion.

Question 7

For bolus feedings by way of syringe method,

Answer 7

remove the plunger from a 30-ml or 60-ml syringe. Attach the
syringe to the distal end of the feeding tube. Pour the enteral formula into the syringe and administer it
slowly by means of gravity. Consider using a feeding bag for bolus gravity feedings, depending on the
volume of feeding administered.

Question 8

post procedure

Answer 8

Assess, treat, and reassess pain according to organization standard.