Tube Feeding Complications
|
Problem
|
Possible
Causes and Interventions
|
|
Nausea,
vomiting,
&
bloating
|
■ Large residuals: Withhold or decrease
feedings.
■ Medication: Review meds and consult
physician.
■ Rapid infusion
rate: Decrease rate.
|
|
Diarrhea
|
■ Too rapid administration: Reduce rate.
■ Refrigerated TF (too cold): Administer at room
temp.
■ Tube migration into duodenum: Retract tube to
reposition in the stomach and
reconfirm
placement.
|
|
Constipation
|
■ Decreased fluid intake: Provide adequate
hydration.
■ Decreased dietary fiber: Use formula with
fiber.
|
|
Aspiration and
gastric
reflux
|
■ Improper tube placement: Verify placement.
■ Delayed gastric emptying: Check residuals.
■ Position of
patient: Keep HOB elevated 30–45.
|
|
Occluded
tube
|
■ Inadequate flushing: Flush more routinely.
■ Use of crushed
meds: Switch to liquid meds.
|
|
Displaced
tube
|
■ Improperly secured tube: Retape tube.
■ Confused
patient: Follow hospital protocol.
|
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