AMS1

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Author:
alyn217
ID:
164988
Filename:
AMS1
Updated:
2012-08-04 15:45:23
Tags:
AMS1T3 NG tubes
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Description:
NG Tubes
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  1. Types of Enteral Tubes
    • Nasogastric Tube (NGT)
    • Percutaneous Endoscopic Gastrostomy Tube (PEG)
    • Jejunostomy Tube
  2. What are some nursing considerations for NG tube feedings?
    • Positioning- HOB 30-45 degrees
    • Tube Patency- Flush before and after
    • Tube Position - Placement check
    • Aspiration Risk - HOB elevation/Residual check
    • Formula- strength/hang time. Do not dilute with water. May -->diarrhea. 
    • Administration – pump/gravity (bolus/intermittent) Medication Administration - crush meds well!
    • General Considerations:
    • --daily weights, glucose checks,
    • --change tubing q24 hrs, free water
    • --label w/ date/time hung, I&O
    • --Gastric residual: check q 4 hrs. for 1st  48 hours then q6-8 hrs for stable patient; q4h critical pts (>200 = gastric intolerance).
  3. What are some complications of NG tube feedings?
    • Nausea/VomitingDiarrhea/Constipation
    • Aspiration: keep HOB 30-45 degrees; hold TF when HOB lowered; check residuals; ambulation; gastric emptying agents, suction for any s/sx aspiration, clear airway!!!!!
    • Clogged Tube: crush meds well; flush before and after meds; dilute viscous solutions; use liquid meds if available; follow hospital protocol for unclogging tube
    • Displacement of tube
    • Dehydration
    • Infection: assess for SnSs of infection; clean around site q shift with water initially then soap and water.
    • Skin irritation
    • Thrush: Oral care!!!!!!!

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