Admin Of Enteral Nutrition (Tube Feeding)

Front 1

assess

Back 1

type of tube used for enteral feeding
ng, g, j tube

Front 2

elevate..

Back 2

pt's head of bed

Front 3

verify

Back 3

tube placement and measure residual

Front 4

aspirate

Back 4

gastric secretions with syringe, noting volume and pH
return aspirated contents and flush with 30 mL of water

Front 5

if aspirate volume is more than 100 mL

Back 5

d n return contents
hold feeding and notify md (or per policy)

Front 6

if pH suggests improper placement of tube

Back 6

hold feeding and notify md

Front 7

initiate feeding
intermittent feeding:
obtain desired amt of formula (room temp)
if using a feeding bag....

Back 7

place formula in bag and prime tubing
attach distal end of tubing to porximal end of feeding tube
adjust rate of flow with roller clamp or a feeding pump
infusion time varies depending on volume

Front 8

initiate feeding
intermittent feeding:
obtain desired amt of formula (room temp)
if using a syringe

Back 8

remove barrel of syringe and insert syringe tip into feeding tube.
Pour desired amt of formula in upright syringe held 12 to 18 in above insertion site
allow formula to low in by gravity

Front 9

initiate feeding
intermittent feeding:
obtain desired amt of formula (room temp)
upon completion of feeding, follow with...

Back 9

30 mL flush of water (or as specified) and clamp tubing

Front 10

initiate feeding
continuous feeding:

Back 10

Pour formula (no more than volume to be delivered in 4 hr) in feeding bag and prime tubing. connect tubing through feeding pump and attach distal end of tubing to proximal end of feeding tube. Set hourly rate and befin infusion. if new feeding, gradually work up to target infusion rate. flush tube with 30 mL of water q 4-6hr

Front 11

monitor for complications

Back 11

intolerance of feeding (nausea, fullness, gastric residual more than 100mL)
aspiration of formula
diarrhea more than 3 times in 24 hr
hypergylcemia (monitor glucose)
fluid imbalance (monitor i and O)