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ENTERAL THERAPY TUBE FEEDINGS/GENERAL CARE
CARE OF FEEDING TUBE
A.
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FLUSH TUBE WITH 30-60CC OF WARM TAP WATER: |
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1. |
BEFORE AND AFTER ANY MEDICATIONS GIVEN |
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2. |
BEFORE AND AFTER BOLUS FEEDS |
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3. |
EVERY 4-6 HOURS WITH CONTINUOUS INFUSION |
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4. |
AS NEEDED |
B. |
USE FIRM PRESSURE, BUT NEVER EXCESSIVE PRESSURE WHEN FLUSHING. |
C. |
CHECK PLACEMENT OF TUBE AT LEAST ONCE EVERY 8 HOURS BY: |
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1. |
ASPIRATION OF GASTRIC CONTENTS |
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2. |
INSTALLING 20-30CC OF AIR AND LISTEN AND FEEL
BELOW THE ZIPHOID PROCESS TO CONFIRM PLACEMENT |
D. |
CHECK FOR RESIDUAL FEEDING: |
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FOR INTERMITTENT FEEDINGS: |
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PRIOR TO EACH FEEDING, IF MORE THAN ________CC
ASPIRATED, DO NOT GIVE FEEDING AND NOTIFY YOUR HOME CARE NURSE. |
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FOR CONTINUOUS FEEDINGS: |
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EVERY 6-8 HOURS, IF MORE THAN________CC ASPIRATED,
STOP THE FEEDING AND CALL YOUR HOME CARE NURSE. |
CARE OF FEEDING TUBE SITE
| A. |
FOR NASOGASTRIC TUBE: |
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CHANGE TAPE EVERY 48 HOURS |
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1. |
REMOVE OLD TAPE, KEEP A FIRM HOLD ON THE TUBE
SO IT DOES NOT SLIP OUT |
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2. |
CLEAN AREA WITH TAPE ADHESIVE REMOVER |
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3. |
CLEAN AREA WITH WARM WATER |
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4. |
DRY AREA WELL |
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5. |
WIPE AREA WITH SKIN PREP |
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6. |
RETAPE TUBE |
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7. |
CHECK PLACEMENT OF TUBE AS PREVIOUSLY
EXPLAINED |
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8. |
REPORT ANY EXCESSIVE REDNESS OR OPEN
AREAS ON THE NOSE TO HORIZON HEALTHCARE SERVICES NURSE |
| FEEDING TUBE WILL BE
CHANGED EVERY 4-6 WEEKS BY HORIZON HEALTHCARE SERVICES STAFF
OR NURSING STAFF OR MORE FREQUENTLY FOR BLOCKAGE. |
B. |
FOR SURGICALLY IMPLANTED GASTRIC TUBE: |
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REDRESS SITE EVERY 48
HOURS |
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1. |
REMOVE OLD DRESSING, BEING CAREFUL
NOT TO PULL EXCESSIVELY ON THE FEEDING TUBE |
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2. |
CLEAN AREA AROUND TUBE WITH_________________________ |
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3. |
APPLY NEW DRESSING AS INSTRUCTED |
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MOUTH CARE OF PATIENT
| A. |
IF PATIENT IS ALERT AND ABLE TO SIT UP, HAVE THEM
RINSE MOUTH EVERY 3-4 HOURS. |
B. |
IF PATIENT IS UNABLE TO DO ABOVE, WIPE MOUTH OUT WITH A SPONGE,
TOOTHBRUSH OR SOFT CLOTH SOAKED IN ___________________________. |
C. |
BE CAREFUL NOT TO PLACE EXCESSIVE AMOUNTS OF LIQUIDS INTO THE
MOUTH OF A PATIENT WHO IS UNCONSCIOUS OR CANNOT SWALLOW. |
D. |
APPLY VASELINE OR BLISTEX AS NEEDED FOR DRY LIPS. |
HEAD ELEVATION
| A. |
FOR INTERMITTENT FEEDINGS: |
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HEAD OF BED SHOULD BE ELEVATED 30 DEGREES FOR
THE INFUSION AND 60-90 MINUTES FOLLOWING THE INFUSION. |
B. |
FOR CONTINUOUS FEEDING: |
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HEAD OF BED SHOULD BE ELEVATED 30 DEGREES AT ALL
TIMES. |
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GI DISTURBANCES
| A. |
IF PATIENT HAS NEW ONSET OF FREQUENT VOMITING OR DIARRHEA,
STOP THE FEEDING AND NOTIFY YOUR HOME CARE NURSE. |
For any questions or concerns, call your
home IV nurse according to the instructions your nurse has given
you. Horizon Healthcare Services can also be reached 24 hours a
day at (717) 544-3590 or toll free at (800) 848-3204
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