Beruflich Dokumente
Kultur Dokumente
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1. Stroke
2. Dementia (e.g. Alzheimer's disease)
3. Medication side effects (dry mouth,
motility problems)
4. Cerebral Palsy
5. Muscular Dystrophy
OVERVIEW OF DARLENE·S FEEDING TUBE
D Gastrostomy (G-Tube)
D A flexible tube or button
D It is placed into the stomach through an opening
in the abdominal wall
D It provides a route for feedings and medication
administration
SYRINGE BOLUS TUBE FEEDING
GGivenvia a syringe
GAdministered at specific times
PREPARATION OF TUBE
FEEDING
Check the formula label
Shake container well
Wipe the top of the can
Check the expiration date
ADMINISTRATION OF BOLUS
FEEDINGS
Verifythe orders by
the Health Care
Provider
Gather equipment
Wash hands
Don clean gloves
Explain procedure
ADMINISTRATION OF BOLUS
FEEDINGS
Positionindividual appropriately
Connect extension tubing
Check for residual /placement
Replace residual and clamp tube
ADMINISTRATION OF BOLUS
FEEDINGS
Wash hands
Prepare medications
Assemble equipment
GSit Darlene up
GPut on gloves
GConnect extension tubing
GCheck for residual /placement- again
if Darlene has ´milky liquidµ, > 100
ml, hold medication and replace
liquid
ADMINISTRATION OF MEDICATION
VIA G- TUBE
&'$"()#*+
1. Disconnect the extension set
2. Reinsert plug
3. Keep Darlene upright for 1 hour
4. Document procedure & observe
ADMINISTERING MEDICATIONS
Nausea/vomiting
Coughing/choking
Difficulty
breathing
Abdominal or chest
pain
Formula observed in
mouth
OBSERVE/REPORT THE FOLLOWING POTENTIAL
COMPLICATIONS:
Abdominal distention
Discomfort/fullness/gas
Constipation
Diarrhea
Fever
Wheezing
Gurgling or whistling
Change in behavior
Change in behavior
TROUBLESHOOTING POTENTIAL
COMPLICATIONS
A Tube/Button clogged
A check for kinked tube
A flush with warm water or coke
A notify nursing if unable to unclog