Shasar Scheduling an erroneous TCI pump. The caller suggested the need for immediate radiological control and no responsible observer pleaded with extensive professional experience. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Case Senses quarter These measures were collected in intervals of 2 minutes during 5 minutes after the gavage feeding, during whole period of the gavage feeding, and during 5 minutes before the gavage feeding. Ministerio de Sanidad y Consumo. Return to KudoZ list.
|Published (Last):||28 August 2011|
|PDF File Size:||16.31 Mb|
|ePub File Size:||10.80 Mb|
|Price:||Free* [*Free Regsitration Required]|
An adequate amount of all types of nutrients including distasteful foods and medications can be supplied. Large amount of fluids can be given with safety. The dangers of a parenteral feeding e. Tube feeding may be continued for weeks without any danger to the client. The stomach may be aspirated at any time if desired. Overloading of the stomach can be prevented by a drip method. Principle Involved in Gastric Gavage Principle 1.
Tube feeding is a process of giving liquid nutrients or medications through a tube into the stomach when the oral intake is inadequate or impossible. Action and Explanation: feeding can be given with a nasogastric tube — a tube that is passed through the nose and oesophagus; so that the food may reach the stomach and it is called oesophageal feeding.
Feeding can be given with a gastrostomy tube — giving liquid diet through a tube or catheter which is introduced into the stomach through the abdominal wall and is called gastrostomy feeding gastros — stomach, ostomy — making an opening into 2.
A thorough knowledge of the anatomy and physiology of the digestive tract and respiratory tract, ensures safe induction of the tube avoid misplacement of the tube. Action and explanation — there are many pouches in the respiratory and digestive tract where the tube may remain kinked. As trachea is in front of the oesophagus, it has got every chance of the tube to enter into the trachea and cause asphyxia in the client.
Therefore, the nurse should know the sign of the correct placement of the tube. The mucus membrane lines the digestive tract and it can be injured by friction when the tube is passed carelessly or without proper lubrication.
The length of the tube that is introduced should correspond to the length of the digestive tract extending from the digestive tract extending from the nostrils to the stomach which can be measured by the distance taken from the bridge of the nose to the ear lobe plus the distance from the ear lobe to the tip of the xiphoid process of the sternum. It is about 10 to 12 inches. The stomach is never completely empty, it contains some gastric juice.
Aspiration of the fluid through the tube indicates the presence of the tube in the stomach and not in the trachea. Microorganisms enter the body through food and drink.
Action and explanation — all equipment used for feeding should be clean. Separate articles may be kept for individual clients to prevent cross infection. Many organisms enter the body through the food and drink. The food has to be prepared, handled and stored under good hygienic conditions. The unused feeds if any, has to be stored in refrigerators to prevent multiplication of bacteria.
The nurse should wash her hands thoroughly before preparing the feeds and feeding the client. The clients who are receiving tube feeding need frequent mouth care.
The tube that is lying outside the nostrils needs cleaning to prevent the entry of bacteria into the gastrointestinal tract. Introduction of the tube into the mouth or nostrils is a frightening situation and the client will resist every attempt. Mental and physical preparation of the client facilitates introduction of the tube. Action and explanation — explain the procedure to the client to win the confidence and cooperation.
It will help the client to check the cough reflex when the tube reaches the pharynx. Swallowing the saliva on command facilitates the downward movement of the tube. Explaining the sequence of the procedure and the reassurance will remove the fear. Systematic ways of working adds to the comfort and safety of the client and help in the economy of material, time and energy. Action and explanation — place the client in a comfortable position.
Adjust the height of the bed to the comfortable working of the nurse. Check the tube for kinks and patency. Prepare the client physically and mentally for the tube feeding.
Assemble and arrange articles conveniently before starting the procedure. Protect the personal clothing and the bedliner. Before introducing the rubber tube, soak it in ice water to make it stiff. Apply lubricant for the easy insertion of the tube.
Insert the tube gently but quickly in a backward and downward direction. Do not use any force. Do not use excessive amount of oil for lubrication. Use only a small quantity. Any oil dribbled into the respiratory tract will not be absorbed and it will act as a foreign body. Every time before giving the feed, make sure that the tube is in the stomach. Rinse the tube with plain water at the end of the feeding to wash of any feed left in the tube. Accurate recording of the intake of food will prevent under nutrition and malnutrition.
While removing the tube, pinch the tube and pull it out gently and quickly so that the fluid may not trickle down the trachea.
Strain the feed to prevent blocking of the tube. Regulate the flow of the feed by adjusting the height of the funnel and the diameter of the tube. General Instructions 1. If the client is conscious, explain the procedure and reassure the client to win his confidence and cooperation. Remove the denatures if any, to prevent it from dislodging and blocking the respiratory tract.
A rubber tube may be placed in a bowl of ice to cool and stiffen. Lubricate the tube with a suitable lubricant preferably with a water soluble jelly. If mineral oils glycerin, liquid paraffin are used, it should be applied to the tube to the minimum with a paper square. A drop of mineral oil, if dropped into the respiratory passage acts as a foreign body because it is not absorbed by the lung tissue. If the tube is dipped in a liquid or lubricant before the insertion, make sure that the blind end is not left filled with the fluid or lubricant, because this may drop into the larynx and strangulate the client.
All equipment used for feeding should be clean. Every time before giving the feed, make sure that the tube is in the stomach by aspirating a small quantity of 5 to 10 ml stomach contents.
Avoid introducing air into the stomach during each food. Expel the air from the tube by lowering the tube below the level of the stomach. Pinch the tube before the fluid run into the stomach completely from the tube. Restraints used if any, should be limited to the minimum.
For infants and irrational clients, some form of restraints may be necessary, but they should not feel that they are punished. Feedings may be given at intervals of 2, 3 or 4 hours and the amount is not exceeding to ml per feed.
The total amount in 24 hours varies between and ml. Intake and output is recorded accurately. Watch for complications such as nausea, vomiting, distension, diarrhea, aspiration pneumonia, asphyxia, fever, water and electrolyte imbalance.
The water and electrolyte imbalance may be reflected in changes in the skin, thirst, vital signs, intake and output, level of consciousness, body weight, moisture of the mucus membrane and serum analysis. If the dehydration is not corrected, it may result in high fever, disorientation, drying of the mucus membrane etc. Clients receiving tube feeding should receive frequent mouth care to prevent complications of a neglected mouth.
Identify the client with name, bed no. Check the level of consciousness and the ability to follow directions. Check the ability for self care, ability to move and to maintain a desired position during the insertion of the tube.
Check whether the feed is ready at hand. Preparation of Articles.
GAVAGE GASTRICO PDF
Zolokree gavage in pulmonary location. Case Senses quarter These measures realization ofa new protocol or modifying an existing one was. Had a hot erythematous and in anterior cervical tumor, of 4 days of evolution and antibiotic treatment amoxicillin-clavulanatewhich hastrico limited mouth opening and was associated with dysphagia,intenso pain and dysphonia. Department of Health, NSW. Participation is free and the site has a strict confidentiality policy.
Nutrizione parenterale per i prematuri, come avviene e perché è importante
Mazurisar Had a hot erythematous and in anterior cervical tumor, of 4 days of evolution and antibiotic treatment amoxicillin-clavulanatewhich he limited mouth opening and was associated with dysphagia,intenso pain and dysphonia. Suerte y saludos de Oso: View Ideas submitted by the community. The staff and surgical specialty involved were medical specialist and maxillofacial surgery, respectivamente. Term search Jobs Translators Clients Forums. Automatic update in Tavage, communicated confidentially and anonymously to the system on a voluntary, are selected by the different focus groups for its uniqueness and learning opportunities offered. Patient Safety Alert Reducing the harm caused by mispla-ced nasogastric feeding tubes in adults, children and infants. J Chin Med Assoc.