Show ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A9 Nursing Skill STUDENT NAME _____________________________________ SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________ ACTIVE LEARNING TEMPLATE: Description of Skill Indications Outcomes/Evaluation CONSIDERATIONS Nursing Interventions (pre, intra, post) Potential Complications Client Education Nursing Interventions Enteral feedings through a G-Tube This skill is when a RN provides Enteral nutrition via a gastrostomy tube. Monitor client tolerance to feeding, Monitor for complications of the Feeding, Perform appropriate checks to ensure placement of the G-Tube. Diarrhea three times or more in a 24 hour period, Nausea, Vomiting, Aspiration of formula, Skin irritation around the tubing site Educate the client on the type of formula that is to be administered via the G-Tube. Educate on the possible side effects from this type of therapy. Educate on side effect prevention to family or care takers. Outcomes: The client will have nutrietional needs meet by the administration of this formula, with minimal side effects. Evaluation: The client showcases no significant drop in weight, or symptoms of complications from the feedings. Pre:Set up equipment for feeding (tubing, feeding bag, syringe, stethoscope),Suction equipment, Appropriate enteral formula Intra:Assist client to semi fowler's, Auscultate for bowel sounds, monitor tube placement, flush tubing, Administer formula per provider orders. Post: Monitor for complications of the feeding. Critical illness/ trauma, neurological and muscular disorders, Cancer affecting the head, neck, or upper GI tract, GI disorders, Respiratory failure with prolonged intubation, Inadequate oral intake What are the outcomes of enteral feeding?There is evidence that enteral tube feeding can improve wound healing, reduce length of hospital stay, prolong life and relatively save costs [11].
What are important assessments related to administration of enteral feedings?When beginning enteral feedings, monitor the patient for feeding tolerance. Assess the abdomen by auscultating for bowel sounds and palpating for rigidity, distention, and tenderness. Know that patients who complain of fullness or nausea after a feeding starts may have higher a GRV.
Why is enteral feeding important?A person on enteral feeds usually has a condition or injury that prevents eating a regular diet by mouth, but their GI tract is still able to function. Being fed through a tube allows them to receive nutrition and keep their GI tract working.
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