(3)
Tap water.
(4)
Graduated container for measuring.
d. Prepare the tube feeding, as ordered.
(1) For 1/4, 1/2, or 3/4 strength feeding, mix the solution with the
appropriate amount of water to obtain the desired strength.
(2)
Always check the label of a commercially prepared formula for expiration
date.
(3)
When mixing a feeding formula, label with date, time, and initials.
(4)
Warm solution to room temperature to prevent cramps and gas
formation.
e. Approach and identify the patient and explain procedure.
f. Provide for patient privacy.
g. Place patient in semi-fowler's position in bed to promote digestion.
h. Fold top linen down to expose gastrostomy tube and protect area with towel.
i.
Attach the syringe to the clamped gastrostomy tube.
(1)
Remove plunger if using a 50cc catheter tip syringe.
(2)
Remove bulb from bulb syringe.
j. Check patency of the tube by pouring a small amount of water from the
graduated container into the syringe.
(1)
Remove clamp.
(2)
If water flows freely, the tube is patent.
(3)
If water does not flow freely, notify the professional nurse.
k. Pour feeding solution into the syringe.
(1)
As solution flows into the stomach, tilt the syringe to allow air bubbles to
escape.
(2)
Add more solution to the syringe when about one quarter of it remains.
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