ADMINISTERING MEDICATION THROUGH A FEEDING TUBE |
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鼻飼給藥法 |
Assessment |
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評估 |
1. Assess for any contraindications to client receiving oral medication. |
1、病人口服藥物禁忌癥。 | |
2. Assess client's medical history, history of allergies, medication history, and diet history. |
2、病人醫(yī)療史、過敏史、用藥史與飲食史。 | |
3. Gather and review assessment and laboratory data that may influence drug administration. |
3、收集和審查可能影響給藥的評估結(jié)果及實(shí)驗(yàn)室資料。 | |
Implementation |
實(shí)施 | |
1. Use Standard Protocol. |
1、按標(biāo)準(zhǔn)程序開始操作 | |
2. Elevate head of bed to high Fowler's position, at least 30 degrees, or place in reverse Trendelenburg if spinal injury present. |
2、抬高床頭至高弗氏位(至少30度),如有椎骨損傷,則病人處反向特倫伯氏位。 | |
3. Prepare medication for instillation in feeding tube. |
3、準(zhǔn)備鼻飼藥物。 | |
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4.Check placement of feeding tube. |
4、檢查飼管位置。 | |
5. Aspirate stomach contents for residual volume, determine volume with graduated container if necessary, and reinstill to client. |
5、抽吸胃內(nèi)容物檢查剩余氣量。必要時可用刻度容器確定其容積。注入胃內(nèi)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、將溶解后藥物倒入注射器,任其自由流入飼管。每次給藥后即用10ml水沖洗。 | |
7. Follow medication with 30 to 60 ml of water to flush tube of medications. |
7、給藥后用30-60ml水沖洗給藥管。 | |
8. Use Completion Protocol. |
8、按結(jié)束程序完成操作。 | |
Evaluation |
評價 | |
1. Observe for desired effects within appropriate time frame, depending on medication administered. |
1、根據(jù)藥物特性,按時觀察預(yù)期效果 | |
2. Verify tube patency before and after medication administration. |
2、給藥前后應(yīng)確認(rèn)飼管暢通。 | |
3. Identify Unexpected Outcomes and Nursing Interventions |
3、確認(rèn)意外結(jié)果及護(hù)理措施 | |
Record and Report |
記錄和報(bào)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、給藥情況。 | |
4. Client's response. |
4、病人反應(yīng)。 |