Providing Medications by Tube
How many mL of water is used to flush medication before and after administration?
15 mL
If there is air in the tube or excess fiber provided you may be at risk for...
gas, bloating and cramping
every 4 hours
tube feeding can be delivered to patients by either
open or closed system
Should medications be delivered together?
NO
inadequate gastric emptying causes
nausea + vomiting
signs of dehydration
dry mucous membranes, thirst, decreased urine output
closed system lower the risk of
infection from bacterial contamination
What's and adverse effect when administering thru postpyloric enteric tubes?
absorption
Laying flat in bed
Aspiration
key nursing interventions
monitor I+O, residual volume, fluid balance
formula infused into the small intestine too quickly or formula bypasses the stomach to fast causing expansion of the intestinal wall causing cramps, bloating, dizzy, sweating and weakness
dumpin syndrome
Rapid infusions/bolus feedings, cold formula and medications may cause
diarrhea
inadequate flushing or crushing of medications may cause
tube obstruction