Ati - enteral feeding - Lecture notes 9 PDF

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enteral feeding lecture notes...

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ACTIVE LEARNING TEMPLATE: Therapeutic Procedure STUDENT NAME: Kaitlyn Chavez PROCEDURE NAME: Enteral tubing

Reference: ATI learning and Craven textbook

Description of Procedure Enteral tube feedings are means to meet nutrition requirements of patients who cannot consume amounts of food. This is done through a nasogastric or jejunostomy tube; depending on the length of time in which the patient will need the feedings. After patient assessment, patient will be positioned in a comfortable position and the tube will be inserted from the tip of the patients nose to the earlobe to the xiphoid process of the sternum with 20-30cm for duodenal or jejunal placement. Tube is inserted through naris to the back of the throat and advanced each time the patient swallows (if allowed). Enteral feeding tubes that are inserted through the abdominal wall can be placed in the stomach or intestine through a procedure called percutaneous endoscopic gastrostomy. Indications - patients with functional GI systems who have difficulty swallowing or have disease states that contribute to malnutrition - edema from head or neck surgery - Decreased level of consciousness prevents safe eating - Patients who can eat but cannot consume Adequate nutrition to meet body demands (cancer or severe pancreatitis)

Considerations Nursing Interventions (pre, intra, post) Pre: look at physicians or registered dietitians orders for the rate of infusion and formula to be used intra: reconstitute formula being used or discard within four hours; assessment of complications (nausea, vomiting, aspiration) post: symptoms of nausea, vomiting, diarrhea, can occur when feeding rate is faster that absorption - monitor for symptoms and adjust rate according to tolerance Feedings tubes with small lumens should be flushed with 30-60mL of warm water after giving medication to avoid clogging.

Patient Education Outcomes/Evaluation

- Address any concerns of feelings of isolation and body issue disturbances -nausea, vomiting, relieved - Teach patients and families how to Feeding, nutrition provided deliver feedings and manage the - active bleeding, ingestion of feeding tubes poison, gastric dilation has - Provide thorough instruction with been washed from the written materials and resources to stomach empower patients ease into coping - Patient is comfortable and with tube feeding doesn’t complain of dislodgment ,tube is functioning properly

Potential Complications

Nursing Interventions (for potential complications)

- displaced tubes or dislogment - Aspiration - Diarrhea - Insertion-site infection and agitation

-Assess the color of the drainage -Apply lubricant to the nares as needed. -rinse mouth or provide oral care when needed - irrigate tubes to avoid clogging - Recheck equipment, suctioning - Reposition of patient (make sure patient is not lying on the tubing, creating a blockage

Adapted from: ATI Fundamentals for Nursing 9.0...