What are some contraindications for enteral feeding

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Reference no: EM133861846

Assignment:

I need help for that case study Mr. Gordon is a 81-year-old patient who experienced a cerebral vascular accident (CVA, stroke) 2 weeks ago. He is unable to take foods orally. He is receiving enteral nutrition at 40 ml/hr via nasogastric (NG) tube because of residual impaired swallowing. A new order was placed to change from a continuous drip to intermittent bolus feedings that equal the amount provided by the continuous drip. His new order also includes 100 ml of water to follow each feeding, hold feedings if residual is greater than 150 ml and strict intake and output.

1. What are some contraindications for enteral feeding?

2. How do you check for placement once the nasogastric tube is inserted?

3. What are the advantages and disadvantages to intermittent feedings as compared to continuous drip?

4. The doctor orders a new standard formula with fiber to be administered via the patient's nasogastric tube. The formula is to be administered at a 1/2 strength with a rate of 40 mL/hr. You are supplied with a 237 mL can of formula. How long will it take to administer this feeding formula as prescribed?

5. What is the reason for starting the tube feeding at a slow rate?

6. What complications would you watch for in a patient on nasogastric feeding?

7. Mr. Gordon's protocol includes 100 ml of water to follow each feeding. What is the purpose of doing this?

8. The provider prescribes three oral medications to be administered to the patient via the NG tube. Following the rights of medication administration, you prepare to instill the medication into the patient's NG tube. What actions should be taken to avoid clogging the tube and maintain patency when administering medications?

9. Your patient begins to vomit while receiving tube feeding. You suspect aspiration. Immediately, you stop the feeding, turn the patient on the side and perform suctioning. Document a SBAR report to the provider.

10. Mr. Gordon is unable to tolerate tube feedings. Write a nursing diagnosis, short term goal, long term goal, intervention, rationale and evaluation.

Reference no: EM133861846

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