No tube feedings if absent bowel sounds.u00a0 Really, no food is no bowel sounds!
Hold if residuals > 100ml
Return what you aspirate. It has gastric juices necessary for digestion, plus client will become more alkalinic. Also, think of electrolyte imbalances
Flush NG tube with 30-50 ml NS before and after meds
Check NG tube placement prior to feeding/meds. Confirm with gastric pH <4.
Clamp tube x 30 minutes after meds to increase medication absorption.
Semi-fowlers to prevent aspiration
In septic or critically-ill clients, the best nutrition is to give tube feedings.u00a0 TPN has greater risk for infection.
Again, enteral feedings maintain gut integrity and helps prevent stress ulcers with clients during sepsis and respiratory failure.u00a0 Enteral feedings have lower infection complications as compared to TPN.
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