| ADMINISTERING MEDICATION THROUGH A FEEDING TUBE | 鼻飼給藥法 |
| Assessment | 評估 |
1. Assess for any contraindications to client receiving oral medication.
2. Assess client's medical history, history of allergies, medication history, and diet history.
3. Gather and review assessment and laboratory data that may influence drug administration. | 1. 病人口服藥物禁忌。
2. 病人醫(yī)療史、過敏史、用藥史與飲食史。
3. 收集和復(fù)查可能影響給藥的評估及實驗室資料?！?/td> |
| Implementation | |
1. Use Standard Protocol. 2. Elevate head of bed to high Fowler's position, at least 30 degrees, or place in reverse Trendelenburg if spinal injury present.
3. Prepare medication for instillation in feeding tube. | 1. 使用標(biāo)準(zhǔn)儀式
2. 將床頭抬高到高弗氏位（至少30度），如有椎骨損傷，則將病人置反向特倫伯氏位。
3. 鼻飼管備藥。 |
| A. Review five "rights" for administration of medication. Nurse Alert: Verify that medications do not include sublingual, enter- coated, or sustained-release medications.Medication may be available in liquid form. | A. 藥物“五對”。
注意：確認(rèn)藥物為非舌下藥、腸衣片、或緩釋藥。
藥物為液劑?！?/td> |
B. Tablets: Crush pill （in its package if possible） with pill crusher. Dissolve the powder in 15 to 30 ml warm water.
C. Capsules: Open and dissolve the powder in 15 to 30 ml warm water. | B. 片劑：用碎藥機(jī)壓碎藥片（或壓碎于藥品包裝內(nèi)），用15－30ml溫水溶解藥物。
C. 膠囊：打開膠囊，用15－30ml溫水溶解藥粉。 |
| D. Gelatin capsules: Aspirate with a syringe, or capsule may be dissolved in warm water over several minutes. After capsule dissolves, remove its gelatin outer layer. | D. 凝膠膠囊：用注射器抽吸，或用溫水溶解膠囊。待膠囊溶解后，除去凝膠外層?！?/td> |
4. Check placement of feeding tube.
5. Aspirate stomach contents for residual volume, determine volume with graduated container if necessary, and reinstill to client. | 4. 檢查飼管放置。
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.
7. Follow medication with 30 to 60 ml of water to flush tube of medications. | 6. 將溶解后藥物倒入注射器，自由流入飼管。每次給藥后即用10ml水沖洗。
7. 給藥后用30-60ml水沖洗給藥管。 |
| 8. Use Completion Protocol. | 8. 使用完成儀式?！?/td> |
| Evaluation | 評價 |
1. Observe for desired effects within appropriate time frame, depending on medication administered.
2. Verify tube patency before and after medication administration. | 1. 根據(jù)藥物特性，按時觀察預(yù)期效果。
2. 給藥前后確認(rèn)飼管暢通。 |
| Identify Unexpected Outcomes and Nursing Interventions Record and Report | 確認(rèn)意外結(jié)果及護(hù)理措施記錄和報告 |
1. Placement of NG tube.
2. Characteristics of stomach aspirate.
3. Medication administration.
4. Client's response. | 1. 鼻胃管放置。
2. 胃抽吸物特征。
3. 給藥。
4. 病人反應(yīng)。 |
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