9.When using pre-filled tube feeding set-up:
a.Remove screw-on cap and attach administration set-up with drip chamber and tubing. Hang set on IV pole and adjust to about 12 inches above the stomach. Clamp tubing and squeeze drip chamber to fill one-third to one-half of capacity. Release clamp and run formula through tubing. Close clamp.
Rationale: Formula displaces air in tubing.
b.Follow steps 8b and 8d. Feeding pump may be used with the tube feeding set-up to regulate drip.
10.Observe client’s response during and after tube feeding.
Rationale: Pain may indicate stomach distention which may lead to vomiting.
11.Have client remain in upright position for at least 30 minutes after feeding.
Rationale: This position minimizes risk of backflow and discourage aspiration should any vomiting occurs.
12.Wash and clean equipment or replace according to agency policy. Wash your hands.
Rationale: Prevents contamination and deters spread of microorganisms.
13.Record type and amount of feeding and client’s response. Monitor urine or blood glucose if ordered by physician.
Rationale: Provides accurate documentation or procedure. Many feedings contain high loads of carbohydrates.