Implementation of feeding7 +hec( residual beore intermittent eeding0 reinstall residual +hec( residual 4 hours "ith continuous eeding0 reinstall residual Cold eeding i QAR residual rom previous hour
or Q%R #lush tube "ith "ater before and after feeding ?se pump to control rate o tube eeding 'dminister uid at room temperature +hange bag 8 hours or continuous eeding levate head o bed "hile eeding is running +hec( patency 4 hours Food mouth care • • •
• • • • • • •
"& Irrigation Tubing9 Veriy placement o tube Insert &A-A cc o normal saline into tube I eel resistance0 change patient position0 chec( or (in(s !ithdra" solution or record amount as input "& removal9 +lamp tube emove tape Instruct patient to exhale emove tube "ith smooth0 continuous pull • • • •
• • • •
Intestinal Tubes (0antor3 Mill4Abbott3 1arris) &mplementations 'ter tube is in stomach0 have patient lie on right side0 then bac( o in )o"ler@s position0 then let side Fravity helps to position tube o o +oil excess tube loosely on bed0 do not tape o :osition o tube verifed by x-ray o *easure drainage =hit 'emoal +lamp tube o o emove tape o Deate balloon or aspirate contents o intestinal tube balloon o Instruct patient to exhale •
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