ADMINISTERING MEDICATION THROUGH A FEEDING TUBE

鼻饲给药法

Assessment

评估

1. Assess for any contraindications to client receiving oral medication.

1、病人口服药物禁忌症。

2. Assess client's medical history, history of allergies, medication history, and diet history.

2、病人医疗史、过敏史、用药史与饮食史。

3. Gather and review assessment and laboratory data that may influence drug administration.

3、收集和审查可能影响给药的评估结果及实验室资料。

Implementation

实施

1. Use Standard Protocol.

1、按标准程序开始操作

2. Elevate head of bed to high Fowler's position, at least 30 degrees, or place in reverse Trendelenburg if spinal injury present.

2、抬高床头至高弗氏位（至少30度)，如有椎骨损伤，则病人处反向特伦伯氏位。

3. Prepare medication for instillation in feeding tube.

3、准备鼻饲药物。

• Review five "rights" for administration of medication.
• Tablets: Crush pill (in its package if possible) with pill crusher. Dissolve the powder in 15 to 30 ml warm water.
• Capsules: Open and dissolve the powder in 15 to 30 ml warm water.医学 全在.线提供
• 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.

• 药物“五对”。
• 片剂：用碎药机压碎药片（或压碎于药品包装内)，并溶于15－30ml温水中。
• 胶囊：打开胶囊，用15－30ml温水溶解药粉。
• 凝胶胶囊：用注射器抽吸，或用温水溶解胶囊。待胶囊溶解后，除去凝胶外层。

4.Check placement of feeding tube.

4、检查饲管位置。

5. Aspirate stomach contents for residual volume, determine volume with graduated container if necessary, and reinstill to client.

5、抽吸胃内容物检查剩余气量。必要时可用刻度容器确定其容积。注入胃内容物。

6. Pour dissolved medication into syringe and allow to flow by gravity into feeding tube. Flush with 10 ml water after each medication.

6、将溶解后药物倒入注射器，任其自由流入饲管。每次给药后即用10ml水冲洗。

7. Follow medication with 30 to 60 ml of water to flush tube of medications.

7、给药后用30-60ml水冲洗给药管。

8. Use Completion Protocol.

8、按结束程序完成操作。

Evaluation

评价

1. Observe for desired effects within appropriate time frame, depending on medication administered.

1、根据药物特性，按时观察预期效果

2. Verify tube patency before and after medication administration.

2、给药前后应确认饲管畅通。

3. Identify Unexpected Outcomes and Nursing Interventions

3、确认意外结果及护理措施

Record and Report

记录和报告

1. Placement of NG tube.

1、鼻胃管放置。

2. Characteristics of stomach aspirate.

2、胃抽出物特征。

3. Medication administration.

3、给药情况。

4. Client's response.

4、病人反应。