Which actions would you perform to safely administer Y.W.'s medications through the PEG
tube? Select all that apply.
a. Position Y.W. in a side-lying position with the head of bed flat.
b. Temporarily stop the feeding while administering the medications.
c. Flush the PEG tube with water after medication administration.
d. Hold the tube feeding for 2 hours after administering the medication.
e. Place the medications into the feeding bag with his tube feed formula.
f. Aspirate for gastric residual before administering the medications.
b, c, d, f
To administer the feeding, you would need to temporarily stop the feeding, aspirate for
gastric residua, flush the tubing, deliver the medication, flush the tubing between and after each
medication, then clamp the tubing or reconnect the feeding as appropriate. Because Y.W. is receiving
phenytoin (Dilantin), the tube feeding should be held for 2 hours after each dose administration.
He should not be placed in the supine (HOB flat) position because of the risk for aspiration. Do not
put medications into the feeding bag with the formula because the drug can precipitate the formula
and clog the tubing. You would not know whether the patient had received the entire dose of the
medication; depending on the rate of delivery, it could take hours for delivery of the medication; and
you might end up with several doses or multiple medications in the feeding bag.
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