Feed Me The Basics
Tube me up Scotty! This term describes nutrition delivered via the GI tract through a tube
What is Enteral Nutrition?
The battle of the Nights and Days continues!!! This is who is in charge of changing the tube feed syringe, graduated cylinder, and cup
What is NIGHT shift?
Coughing, choking and shortness of breath is bad news bears and could be this
What is aspiration?
VBEN focuses on delivering this total (v) value over 24 hours
What is the total daily Volume goal?
A sudden resistance during a tube flush might suggest this problem, which should be addressed immediately
What is a clogged tube?
Did you know that 40 is the new (blank), which is also the minimum number of degrees a patient’s head should be elevated during feeding
What is 30 degrees?
"Flush and wash and be on your way", this is the recommended flush volume (in mL) before and after tube medication administration
What is 30ml?
What did I tell you about the importance of flushing? Skipping water flushes can lead to this tube complication
What is clogging?
VBEN differs from rate-based feeding because it allows for this if feeds are missed
What is catch-up feeding or volume compensation?
Giving crushed extended-release medications through a feeding tube may result in this serious issue
What is overdose or toxicity (due to dose dumping)?
Done every 4 hours (excluding on DH's), GRV is the process of checking stomach contents
What is gastric residual volume?
Expired? This is how often a set of tubing and syringe should be used for
What is up to 24 hours?
Suspecting aspiration? Do this!
What is stop the feed and assess the patient?
This is the formula used to calculate the adjusted rate after a feeding hold
What is remaining volume ÷ remaining hours = new rate?
Your patient on continuous tube feeds develops shortness of breath and crackles. You suspect this condition
What is aspiration pneumonia?
Wait! Before administering anything into a new Dobb Hoff feeding tube, you must always "scan" for this
What is tube placement verification?
A red, leaking, or inflamed G-tube site might indicate this complication
What is a stoma infection or peristomal skin breakdown?
Gulp, your GRV is greater than 500 ml... After holding the feed and notifying the provider, this is what you do with 500 ml of it
What is re-feed up to 500 ml?
3 times a shift, 6 times in 24 hours: 8, 12, and 4 are the times you do this
What is document intake and clear the pump?
Leave it alone, Albert! Confused and restless, Albert likes to pull on his peg tube. Along with a safety view, physical sitter, and restraints, this simple underused item could be applied to perform an "outta sight, outta mind" cheat
What is abdominal binder?
Known in Latin as Ignarus, this patient state is often misunderstood as a requirement for tube feeds
What is unconscious?
Your G-tube becomes dislodged - before notifying the provider you do this
What is cover the stoma immediately?
Slow down Susan!! These two complications may result from feeding too rapidly
What are aspiration and diarrhea?
Did someone order a bolus? This reflex is necessary to have in order to receive bolus feedings
What is gag reflex?
A feeding tube with formula backing up into the syringe or bag may indicate this GI complication
What is delayed gastric emptying or possible obstruction?