Download Enteral Medications

Enteral Nutrition &
Medications
NUR 152
Mesa Community College
Gastrointestinal Tubes
Nasogastric Tube
Gastrostomy (PEG)
(Percutaneous
endoscopic)
G-button (after healed)
Jejunostomy
Placed in the
jejunum
Enteral nutrition
 Solutions
Blenderized
Polymeric
Monomeric
 Types of formulas
Basic
↑ protein
Elemental
Diabetic
Renal
Pulmonary
Fiber-containing
 Methods of Delivery
Bolus
Intermittent Drip
Continuous
 Complications
Administering a Tube Feeding
Volume 2, Procedure 27-3A
Copyright 2008 by Pearson
Education, Inc.
Administering a Tube Feeding Cont.
Volume 2, Procedure 27-3
Nursing Process & Enteral Nutrition
 Obtain a baseline weight, vitals & labs
 Raise HOB at least 30 degrees (Semi-Fowler’s)
 Assess tube security & placement
Aspiration & visualization of secretions &
re-installment of secretions
√ for pH < 6 (or per agency policy)
 Assess tolerance to feedings
Check for residuals for continuous feedings every 4-6
hours (or depending on agency policy)
Residual feedings should not be more that ~ 100mL
or agency policy
For intermittent feeding: no more than 50% of the
previous feeding should remain
Nursing Process & Enteral Nutrition
 Flush tube as indicated
 Before administering feeding
 Check expiration date
 Warm feeding to room temperature
 Hang the bag about 12 inches above insertion
point, clamp tubing and add formula and then
purge the tubing
 Attach to patient tubing & regulate the drip rate
 If syringe system, clamp tubing & add feeding to
syringe, unclamp & slowly let in feeding
 Remain in fowlers position for at least 30 min. after
feeding completed
Nursing Process & Enteral Nutrition
Monitor urine output & bowels sounds &
vital signs
Free water
Change feeding bag daily (every 24 hrs)
Always ensure client safety & comfort!
Don’t forget to document!
Enteral Medications
Most drugs administered orally can be
given enteral
Medication is diluted with water
Placement of tube is confirmed
Medication delivered via gravity
Flushed with water
Care is taken not to insert large amounts of air
Knowledge √ Documenting Nutrition
The nurse has finished providing a tube
feeding to a patient. The nurse should
document all of the following except:
A. Duration of the feeding
B. Name of physician prescribing feedings
C. Solution provided
D. Patient’s tolerance of the feeding
E. Amount of the feeding
Documenting Nutrition 2
 A patient receives several tube feeding each
day. After documenting the patient’s
assessment findings, and tolerance of the
feeding, the nurse should also document the
amount of feeding provided on the:
 A. Dietary consultation notes
 B. Intake and output record
 C. Vital signs record
 D. Nurses notes
Feeding Tubes
When feeding tubes are first
positioned, verification is done by:
A. Auscultation
B. X-ray confirmation
C. pH testing of gastric contents
D. Confirmation of distal mark on
feeding tube
Tube Feedings
 Which of the following best describes a “bolus
feeding”?
 A. Infusion of a feeding that is stopped for a
specified time
 B. Small amounts are continually infused over a
specified time
 C. Intermittent feeding of a specified amount of
feeding at specified times
 D. Free water infused in-between feedings