Posted 20 hours ago

Beaphar Feeding Syringes for dogs,cats and small animals

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Although you may not be eating or drinking it is important to keep your mouth and teeth clean to prevent infection or soreness from a dry mouth. How do I keep my mouth fresh?

Small-bore tubes can be difficult to aspirate therefore the following are suggested techniques to try enhance the ability to obtain aspirate: Williams, T., & Leslie, G., 2010. Should gastric aspirate be discarded or retained when gastric residual volume is removed from gastric tubes? Australian College of Critical Care Nurses, 23, pg 215-217. There is a 24-hour helpline available to help with pump problems. A nurse advisor is available to provide advice over the telephone on any other problem you may have. GP Flushing is the single most effective action that prolongs the life of nasogastric tubes. It is recommended that flushing occur BEFORE, DURING and AFTER administration of enteral medications and feeds. If a reading greater than 5 is obtained, placement of the tube is questionable and it should not be used until the position of the tube is confirmed.

This is when you receive your feed slowly through an electronic pump. The pump delivers the feed at a steady rate prescribed by your dietitian, to allow you to feed over several hours. Why should I use pump feeding?

Turgay, A S., & Khorshid, L. 2010. Effectiveness of the auscultatory and pH methods in predicting feeding tube placement, Journal of Clinical Nursing, 19, pg 1553-1559. The decision for which type of enteral feed a child should receive should be made in consultation with the dietician, medical team, nursing staff and family, taking into account the nutritional needs, clinical status and tolerance of feeds of the child.Aspirate minimum 0.5 - 1ml of gastric content (or sufficient amount to enable pH testing). Consider the “dead space” in the tubing.

Taylor, S., 2013, Confirming nasogastric feeding tube position versus the need to feed, Intensive and Critical Care Nursing, 29, pg 59-69. Using a 10-20ml oral/enteral syringe (5-10 ml in neonates) insufflate 1-5ml of air (1-2 ml in neonates) into the tube. This may move the tube away from the wall of the stomach. It will also clear the tube of any residual fluid. If a child belches immediately following air insufflation, the tip of the tube may be in the oesophagus Flush the syringe and tubing with warm water after use. Clean it with soapy water and let it air dry. Thorough washing with soap and water is often sufficient to sterilize certain infant feeding syringes. Please note: patients who have a history of Liver Failure and known/or suspected oesophageal varices should not have a gastric aspirate removed from the NGT. Instead tube position should be initially confirmed via x-ray with clear documentation of NGT position marker. The medical team should document rationale for not obtaining gastric aspirate in the patient’s progress note as well as an alternative plan to confirm NGT placement. Obtain gastric aspirateNasogastric and Orogastric Tube Insertion procedure (RCH only.) If the patient is receiving a medication which is known to alter pH readings notify medical team, pharmacy and senior nursing staff, a clear plan for confirming the tubes position should be documented in the progress notes. Speak with the family and child to establish normal feeding regimes and where possible, considering the reason for admission and clinical condition of the child, continue this regime in hospital This guideline aims to support nurses in administering feeds and medications via a nasogastric, orogastric or gastrostomy tube in a safe and appropriate manner. Nasoenteric tube starts in the nose and ends in the intestines (subtypes include nasojejunal and nasoduodenal tubes).

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