The nurse is initiating a continuous tube feeding for a patient who has a gastrostomy tube. Which of the following procedures indicates proper practice?
a. Allow the container to empty gradually over 60 minutes.
b. Change the bag every 24 hours.
c. Do not use water to flush the tube.
d. Quickly increase the rate of administration.
B
Rinse the bag and tubing with warm water whenever feedings are interrupted. Use a new administration set every 24 hours. Allowing the container to empty over 30 to 45 minutes is the method used for intermittent administration of tube feedings. Administer water via a feeding tube as ordered or between feedings. This provides the patient with a source of water to help maintain fluid and electrolyte balance and clears the tubing of formula. Gradually advancing the rate of concentration of the tube feeding helps to prevent diarrhea and gastric intolerance to formula.
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