NURSING 2NN3 Lecture Notes - Lecture 7: Silastic, Intubation, Jejunum
2 Sep 2018
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Enteral tube feeding: nutrients given via the gastrointestinal tract, used when patients are unable to ingest food but can digest and absorb. Indications for enteral nutrition: cancer, critical illness/trauma, neurological and muscular disorders, gi disorders, respiratory failure with prolonged intubation. Tube feedings: bolus via gravity several times a day. Assessment: verify order for type of tube and feeding schedule, assess patient"s knowledge of procedure, review medical history, mental status, physical assessment of the abdomen. Assessing gastric ph: 60-ml catheter-tip syringe, medicine cup, clean gloves, gastric ph indicator strip. Infuse feeding as ordered: elevate head of bed to 30 degrees (preferably 45), report difficulty infusing the feeding or discomfort, report gagging, coughing, or choking, oral hygiene. Enteral nutrition: baseline weight, serum electrolytes and blood glucose measurements, formula, rate, route, and frequency, physical assessment of abdomen. Equipment for tube feeding: enteral formula, 60ml or larger catheter-tip syringe, gastric ph indicator strip, clean gloves, stethoscope.
