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7 Cards in this Set
- Front
- Back
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aspiration |
use appropriate measure to check tube placement elevate head of bed at least 30-45 minutes during feeding and 1 hr after give small, frequent feedings avoid oversedation check residual volume |
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clogged tube |
flush tube before and ofter feeding and every 4 hours during continuous feeding and after withdrawing aspirate instill 30mL of warm water 50-mL or 60mL syringe to attempt to unclog tube |
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nasal erosion with ng or ni tubes |
check nostrils every shift for signs of pressure clean an moisten nares every 4-8 hours start feeding at slow rate |
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diarrhea |
prevent contamination in both open and closed systems change delivery set every 12-24 hours according to agency policy refrigerate open cans of formula and discard after 24 hours limit hanging time to 8 hours when using open system use aseptic technique for pts who are immunosuppressed or acutely ill assess for fecal impaction |
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other GI symptoms (N/V) |
check for residual prior to intermitted feeding and every 4 hours during continuous feeding avoid oversedating client administer GI motility meds |
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unplanned extubation |
anchor tube adequately with commercial device, elastic net, or tape check on pt frequently measure external length of tubing at regular intervals |
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stoma infection |
clean skin every shift, dry thoroughly use topical antibiotics and or antifungals assess for signs of infection request consult with would care specialist as needed. |
