The Treatment Of A Patient

946 WordsSep 12, 20154 Pages
When a patient is no longer or unable to feed themselves orally a feeding tube must be ordered. Specifically, when a patient has prolonged bleeding, facial trauma, upper GI blockage and cancer. An enteral tube feeding can be placed nasally for a short period of time. The NG tube catheter tip normally resides inside the stomach or in the small intestine past the pylorus. The number one complication involved with the use of NG tube feeding is incorrect placement. A nurse can unintentionally place an NG catheter into the lungs, most notably when a patient has little to no gag reflex. Completing a test for gastric contents, pH or performing a chest x-ray after inserting an NG tube for confirmation of proper insertion. Another major complication when using NG tubal feeding is aspiration within the lungs due to gastric substances enter the trachea and into the bronchial spaces of the lungs. Keeping the head of the bed elevated greater than 30 degrees will reduce aspiration to least possibility. Applying a gastrostomy or jejunostomy tube for enteral feedings when NG tube has interference with therapy or ensues intolerance. The gastrostomy tube, PEG, tip situated in the stomach and exits the body through the left upper quadrant of the abdomen where a bumper holds it into location. Internally positioned by a doctor during an endoscopy, radiology or surgery. A jejunostomy tube is set while in surgery, radiology or endoscopic. If done endoscopic, the PEJ tube goes

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