Enteral Tube Feeding Procedure - Using a Pump & Open System: Clinical Nursing Skills |
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- čas přidán 25. 07. 2024
- Ellis demonstrates how to administer enteral tube feeding using a pump and via an open system (gravity). It would be appropriate to wear gloves to avoid direct contact with gastric secretions.
Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.
#NCLEX #ClinicalSkills #tubefeeding #HESI #Kaplan #ATI #NursingSchool #NursingStudent #Nurse #RN #PN #Education #LVN #LPN #feedingtube
00:00 What to expect from enteral tube feeding
00:35 Pro-Tip
1:13 Pump feeding
1:54 Gastric residual volume (GRV)
3:23 Tube feeding
3:40 Preparing bag for tube feeding
4:35 Priming the line for tube feeding
5:20 Setting the pump for tube feeding
6:32 Gravity feeding
7:00 Attaching syringe for tube feeding
7:23 Flushing feeding tube
7:59 Pouring feeding tube
8:24 Flushing tube
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Is it necessary to fill the chamber rather then leaving it empty? Also I’ve seen some continuous peg tube feedings have a glass filter, how do you fill the chamber since you can’t squeeze it to fill it up? Thanks
If the chamber is glass, you should still be able to prime the line without squeezing it. So, you don't always have to fill the chamber, but be sure to prime that line so you don't run air into their GI tract. It would be uncomfortable (and probably give them gas!). - Ellis
Great video. I think the residual will vary based on what the feed rate is. 500mL is a lot for a 1 yo, but reasonable for a 15 yo. We used to say, twice the volume/hour (if continuous) would require stopping the feeds. Also an assessment of the pt is indicated (abdominal pain? distention? burping/vomiting?).
Great video, thank you!! :)
Glad you liked it!
TY🥰
Thank you so much
You're most welcome!
I remember creating a negative pressure and just putting the tube into the tumbler that is with the feed and avoid extra food or aspirations possibility too. Are there any changes or adversities that's found that its not in the procedures of practices explained here
Very helpful
Glad to hear that!
thank you!
You're welcome!
I wished you showed how to prime witht he machine as well.
Very good
Glad you like it!
❤❤
My friends daughter , who has special needs , has had a placement of a NGtube and has been receiving her formula through this , in the beginning of her lower dosage of feedings everything seemed to be going well , as they upped her intake consumption she started to have heavy sweats during her feeds , face going pale didn’t look good does anyone have an answer to why this is happening ? Please share thank you 🙏
what year do you usually learn enteral feeding? I've only done nursing fundamentals. is it med surg?
It depends on the program… many programs cover enteral feeding in Fundamentals. Others may cover it in MedSurg. We cover it in our Fundamentals flashcard deck.
No mention about flushing tube
After the medicine I sipose to flushed send me the réponse please
Hi, nursing student here🖐. Just curious as to why there wasn't water hung with the feed?
Hello! I'm not familiar with that being done. Tube feeds should be prepared per instructions on the product and not diluted. If using a pump system there is only capacity for one tube/container. Flushing with water should occur before and after a feed (or every ~4 hours if continuous). - Ellis
Hey there, some sets can have both the feeding bag and a water bag which come together like y-tubing. The set here in the video only has one bag. Feeding pumps can detect the second bag and can be set up for continuous feeds and water flushes. For it to be used, prime the water then the feeds.
@@LevelUpRN Thank you for responding! In our clinicals whenever we hang a continuous feed, we also hang a bag of sterile water. This way it flushes intermittently during feedings.
Thanks for the info! It absolutely depends on the facility and the equipment you're working with. Three of our nurse team had not seen y-tubing for tube feeding, but Cathy did say that her hospital uses it! I've not personally seen that, but always appreciate being exposed to new things! - Ellis
@@LevelUpRN I think they are talking about the kangaroo tube feeding pump. You can hang a bag or NS and add to the pump how often and how much to flush the line.
hi, just a question, aren't you supposed to wear gloves in an actual patient with that process/procedure?
Great question! Yes, with a patient I would wear gloves. This is to keep everything clean, and to prevent any potential exposure to gastric secretions. - Ellis
It's obvious she's not wearing gloves because this is a demonstration 🤦🏾♀ I'm sure if it was a patient she would be wearing gloves
Did i miss something? You don’t check fit position? Which ever way you prefer. The marking so you know the insertion level. And or auscultation. For position patent of tube all this ?
The tube is tunneled when
Inserted in the I’m Ready. The surgeon creates a path. It’s not just stabbed through the abdominal wall at 90°. It could slide back and be between the stomach mucosal lining and the actual vault?
Just saying