Hygiene Education
Notes of bolus feeding 管灌食適用對象與常見併發症(英文)

Notes of bolus feeding 管灌食適用對象與常見併發症(英文)
2021/1/8
Goal
When patients have a hard time intake food on their own, they need to be fed via nasogastric tube which transports balanced formula to provide nutrition demanded by their body.
Subjects in need of bolus feeding
- patients living on nasogastric tube for food.
- Use the gastrostomy or jejunostomy feeding.
Notes
- Before feeding the formula, please wash your hands thoroughly with soap first.
- Please follow the time scheduled marked on the cup.
- Do not heat up prescribed formula as not to destroy nutrients.
- Do not store the formula in the fridge if it is not unsealed; with the unsealed formula, label the used schedule on the lid and use it up within 24 hours once it is opened.
- While feeding, lift patients’ head up to 45-60 degree. The entire feeding process should take no less than 15 minutes. To prevent food from getting into patients’ lung, have they stay at the position for an hour.
- For mixed formula, finish feeding patients within 30 minutes; if it stays unused for two hours under normal temperature, do dispose it.
- Do not push an empty tube during feeding.
- When feeding a patient, check his or her digestion condition from last feeing by releasing some of the formula. If the sucked out amount is greater than half of the amount from last feeding, postpone the feeding an hour later.
- To prevent infection or blockage, rinse the tube with 20-50c.c. of warm water before and after feeding.
- Stop feeding immediately once you detect abdominal distension, pain, coughing, or vomits from patients.
- Care the oral cavity and use the cotton to clear up patients’ nostril every day.
- An hour prior to or after the feeding, avoid activities like sucking phlegm, turning, and pating patients’ backs.
Common complications
Complication
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Possible
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Solution
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Feeling disgusted,
Vomiting
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Abdominal distension
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Poor absorption
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Continuous feeding
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Diarrhea
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Blockage or obstruction of the tube
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Rinsing the water or moist off the tube is insufficient
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aspiration pneumonia
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- If there is doubt regarding information provided above, contact our nutritionists or consult the clinic for further guidance.
Feeding plan chart
Nutritionist:
Heat: Kilocalorie: Protein: g
Time |
Prescription name |
Pace/ quantity |
Add the water amount |
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電話:(04) 22052121 分機 3253
HE-8C018-E
電話:(04) 22052121 分機 3253
HE-8C018-E
中國醫藥大學附設醫院暨體系院所