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types of enteral nutrition
complete
modular
hypertonic
isotonic
types of feeding
intermittent
bolus
continuous
intermittent feedings
procedure/timing
feedings given at night. keep HOB at 45-60 degrees
Bolus Feedings
time/procedure
a lump sum feeding - usually 6x a day over 15 min followed. by 60 ml water
continuous feedings
time/ procedure
continuous pump over a 16-24 hour period 30-45 ml per hour
are nurses allowed to reposition or irrigate
no. need orders
how to know if feeding tube is accidentally in the lungs
ph is greater than 6 - unless they are on GERD meds
how often to check stomach contents
Q 4-6 hours
complications of feeding tubes
overfeeding
diarrhea
refeeding syndrome
aspiration pneumonia
what to do if you suspect aspiration pneumonia
stop feeding, turn client to side and suction. give 02 check vitals, call doctor to get an X ray
signs of refeeding syndrome
electrolyte imbalance, weakness, new onset confusion or seizures