Tube Feeding Complications

Tube Feeding Complications

Nausea,Vomiting, and 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 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 degrees.

Occluded tube
■ Inadequate flushing: Flush more routinely.
■ Use of crushed meds: Switch to liquid meds.

Displaced tube
■ Improperly secured tube: Retape the tube.
■ Confused patient: Follow hospital protocol.