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如何通过鼻胃管建立和管理肠内喂养。

How to set up and administer an enteral feed via a nasogastric tube.

作者信息

Best Carolyn

机构信息

Royal Hampshire County Hospital, Hampshire, England.

出版信息

Nurs Stand. 2017 Jul 5;31(45):42-47. doi: 10.7748/ns.2017.e10509.

Abstract

Rationale and key points Nasogastric tube feeding is a method of enteral feeding commonly administered by nurses. Feed can be administered either using a volumetric enteral feeding pump (pump feeding) or via an enteral syringe (bolus feeding). This article explains how nurses can safely undertake these two methods of nasogastric tube feed administration at the patient's bedside. » Nasogastric tube feeding can be used to provide some or all of the patient's nutrition, fluid or medication. » Nurses should be equipped with the relevant knowledge to flush a nasogastric tube before the administration of feed or medication; set up and administer an enteral feed via a volumetric enteral feeding pump; and set up and administer a feed using a bolus method. » The position of the distal tip of the nasogastric tube must be confirmed as sitting in the patient's stomach before the tube is used to administer enteral feed, fluid or medication. Reflective activity 'How to' articles can help you update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: 1. How you think this article will change your practice when setting up and administering an enteral feed via a nasogastric tube. 2. How you could use this resource to educate your colleagues about nasogastric tube feeding via an enteral feeding pump or bolus feeding.

摘要

基本原理与要点

鼻胃管喂食是护士常用的肠内营养供给方法。可使用容量型肠内营养泵(泵注喂食)或通过肠内注射器(推注喂食)来供给营养液。本文解释了护士如何在患者床边安全地进行这两种鼻胃管喂食方法。

» 鼻胃管喂食可用于提供患者部分或全部的营养、液体或药物。

» 护士应具备相关知识,以便在喂食或给药前冲洗鼻胃管;通过容量型肠内营养泵设置并进行肠内营养供给;以及采用推注法设置并进行营养供给。

» 在使用鼻胃管给予肠内营养、液体或药物之前,必须确认鼻胃管远端尖端位于患者胃内。

反思活动

“如何做”类文章可帮助您更新实践操作并确保其基于证据。将本文应用于您的实践中。思考并简要描述:

  1. 您认为在通过鼻胃管设置和进行肠内营养供给时,本文将如何改变您的实践操作。

  2. 您如何利用此资源向同事传授关于通过肠内营养泵或推注法进行鼻胃管喂食的知识。

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