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Nutritional Support (factors (conditions, preferences, length of feeding,…

- - - - position
      - audible bowel sounds
      - check gastric residual (aspirate): prior to intermittent & Q4-6 if continuous feeding
      - X-ray
    - - common mistakes
        
        incompatible w tube, not prepared right, faulty techniques
      - result
        
        occluded feeding tube, reduced drug effect, drug toxicity, harm, death
      - implications
        
        crushable?
        
        validate w pharmicist to make sure it can be flushed w 15 ml
        
        prepare each med separately
        
        flush before and after
      - assessment
        
        placement
        
        bowel sounds
    - - confirm that it is securely in place
      - bowel sounds
    - - no aspirations
      - adequate NTS support
    - - placement
      - residual
      - raise head 30/45 degree during tube feeding
    - - fluid volume, deficient RT inadequate fluid intake or excess fluid loss
      - diarrhea RT enteral feedings
  - - - Bowel obstruction
      - Inflammatory bowel disease
      - Severe pancreatitis
      - Need bowel rest
      - Severe trauma
      - Severly malnourished
    - - Baseline weight
      - lab results
    - - NTS altered and imbalanced
      - infection RT parenteral NTS solution due to high glucose concentration