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Feeding Tube 6. Name: Dobbhoff/Keofeed Characteristics: Soft, plastic 6-8Fr., 76-109 cm, small bore tube, distal end weighted with tungsten; water-soluble lubricant on inner and outer surfaces. Reason: Feeding Nursing Information: Changed every 4 weeks; stylet for insertion; need to keep stylet at bedside. Can be placed in stomach or small intestine; takes 24 hours for passage into intestines; passage into small intestine facilitated by client lying on right side. Traditional methods for checking placement often ineffective. X-ray should be done before feeding to confirm placement; one placement method: advance tube 25 cm, remove stylet, and put end of tube in cup of water. If bubbles are seen withdraw; if no bubbles advance tube another 30-40 cm into stomach.* Nursing Interventions: Promote client comfort • Assure client can move freely without tension on tube. • Do frequent nasal and oral care Perform system checks • Check placement of tube • Check BS, Palpate abdomen • Check Pressure settings • Check Patency of suction and NGT • Check drainage (amt, odor, color, consistency) Monitor fluid/electrolyte balance Document accurately 35
