Tammy is 2-day postoperative for esophageal cancer. She has had a PEG tube placed yesterday and today starts parenteral feedings
a. What do you need to know about tube feedings as the nurse?
b. What is your role in her care?
c. What do you monitor and how often?
Students' answers should include the following:
a. Check orders for proper amount and type of feeding.
b. Maintain feeding schedule; pump at proper drip rate and amount.
Frequent oral care for dry mucous membranes
Good handwashing
Watch for s/s fever, diarrhea, or constipation.
Flush with water per policy.
c. Watch for aspiration into lungs; if suspected, stop feedings and notify physician.
Listen to lungs sounds; report changes.
HOB 30° to 40° with tube feeding going.
Check for residual.
If intermittent feedings, keep HOB in semi-Fowler's position 30 to 60 minutes after last feeding.
Flush before and after medications.
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