10/02/2021
We are celebrating as of the 8th to the 12th February 2021💃💃
WHAT IS A FEEDING TUBE?
A feeding tube is a medical device used to provide to people who cannot obtain nutrition by mouth, are unable to swallow safely, or need nutritional supplementation.
Tube feeding or enteral nutrition (EN) is nutrition administered via a tube or catheter directly to the:
🍇stomach e.g orogastric or nasogastric tube (via the mouth or nose) and gastrostomy tube (directly into the stomach/ PEG)
🍇small intestine (e.g. nasointestinal tube, jejunostomy tube (J-tube) in a patient who has
a functioning GI tract but is unable to meet his or her nutritional needs by oral ingestion.
WHAT IS OUR ROLE AS DIETITIANS?
A registered dietitian (RD)must perform the following tasks when administering EN, with assistance by the clinical nurse:
–🍓Verify placement of the patient’s feeding tube
–🍄Complete the preprocedural patient assessment, including determining total energy requirements, macro- and micronutrient needs, and free water requirements.
-🥕Confirm that treating clinician has ordered appropriate testing (e.g., serum glucose testing)
–🥦Place the patient in a semi-Fowler position (i.e. upper body elevated at 30–45°) during and for at least 1 hour following EN administration to reduce the risk for aspiration
–🍌Verify the accuracy and completeness of the order for EN (e.g., making sure the order includes the type of EN formula, method of administration, volume/rate of
administration, timing of formula delivery within a specified period of time (e.g., over 24 hours), frequency of delivery, and details about the flush to be administered)
–🍈Confirm that EN is administered as prescribed, using aseptic technique where appropriate
–🍉Complete ongoing patient assessments to monitor for the desired response to and for any complications of EN (e.g., observe for abdominal distention, firmness, and/or discomfort, serum glucose level, and daily weight)
–🍊Periodically measure gastric residual volume (GRV) to determine whether the feeding is tolerated
–🥑Administer medications via the enteral feeding tube, as ordered and according to facility protocol.
Hopefully the above is very informative and interesting to you all.😅 Rememeber this is only our part, other professions also play a very critical care in feeding tube administration.
Have a lovely day😉