ADMINISTERING MEDICATION THROUGH A FEEDING TUBE |
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鼻饲给药法 |
Assessment |
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评估 |
1. Assess for any contraindications to client receiving oral medication. |
1、病人口服药物禁忌症。 | |
2. Assess client's medical history, history of allergies, medication history, and diet history. |
2、病人医疗史、过敏史、用药史与饮食史。 | |
3. Gather and review assessment and laboratory data that may influence drug administration. |
3、收集和审查可能影响给药的评估结果及实验室资料。 | |
Implementation |
实施 | |
1. Use Standard Protocol. |
1、按标准程序开始操作 | |
2. Elevate head of bed to high Fowler's position, at least 30 degrees, or place in reverse Trendelenburg if spinal injury present. |
2、抬高床头至高弗氏位(至少30度),如有椎骨损伤,则病人处反向特伦伯氏位。 | |
3. Prepare medication for instillation in feeding tube. |
3、准备鼻饲药物。 | |
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4.Check placement of feeding tube. |
4、检查饲管位置。 | |
5. Aspirate stomach contents for residual volume, determine volume with graduated container if necessary, and reinstill to client. |
5、抽吸胃内容物检查剩余气量。必要时可用刻度容器确定其容积。注入胃内容物。 | |
6. Pour dissolved medication into syringe and allow to flow by gravity into feeding tube. Flush with 10 ml water after each medication. |
6、将溶解后药物倒入注射器,任其自由流入饲管。每次给药后即用10ml水冲洗。 | |
7. Follow medication with 30 to 60 ml of water to flush tube of medications. |
7、给药后用30-60ml水冲洗给药管。 | |
8. Use Completion Protocol. |
8、按结束程序完成操作。 | |
Evaluation |
评价 | |
1. Observe for desired effects within appropriate time frame, depending on medication administered. |
1、根据药物特性,按时观察预期效果 | |
2. Verify tube patency before and after medication administration. |
2、给药前后应确认饲管畅通。 | |
3. Identify Unexpected Outcomes and Nursing Interventions |
3、确认意外结果及护理措施 | |
Record and Report |
记录和报告 | |
1. Placement of NG tube. |
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1、鼻胃管放置。 |
2. Characteristics of stomach aspirate. |
2、胃抽出物特征。 | |
3. Medication administration. |
3、给药情况。 | |
4. Client's response. |
4、病人反应。 |