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Med-Surg II #5 - Periop

Terms in this set (62)

• Bolus, 250-400 mL 4 to 6 times each day. Each bolus may take about 10 minutes to administer. The patient may experience nausea, vomiting, aspi- ration, abdominal cramping, and diarrhea if he or she cannot tolerate the large amount of solution given in a short timeframe. This method is if the patient is ambulatory and relatively healthy.

• Intermittent drip or infusion, 300-400 mL given 3 to 6 hours over 30-60 minutes by gravity drip or infusion pump.

• Continuous drip or cyclic infusion, 50-125 mL infused per hour at a slow rate over a 24-hour period using an infusion pump such as a Kangaroo set. This method is used for treating critically ill patients and for patients who have a feeding tube in their small intestine or in the stomach.

• Check tube placement
• Check for gastric residual before intermittent or bolus feedings • Check continues feedings for residual every 2 to 4 hours
• Feeding should be at room temperature
• Flush feeding tube based on method of delivery
• Monitor side effects such as diarrhea
• Dilute drug solutions appropriately
• Monitor vital signs
• Monitor hydration
• Weigh patient daily
• Change feeding bag daily

Nursing implications for parenteral nutrition

The nurse must monitor the patient for signs of complications as a result of inserting the catheter and the infusion of the feeding.

Catheter insertion can cause
• Pneumothorax. • Hemothorax.
• Hydrothorax.

Parental nutrition infusion can cause:
• Air embolism. • Infection.
• Hyperglycemia. • Hypoglycemia. •
Fluid overload.