A patient is to receive medications through a gastrostomy which nursing actions are appropriate

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CLINICAL DO'S AND DON'TS

MCCONNELL, EDWINA A. RN, PHD, FRCNA

Author Information

This department illustrates key clinical points for a common nursing procedure. Because of space constraints, it's not comprehensive. The author of this monthly column, Edwina A. McConnell, of Gorham, Me., died on October 16, 2002.

Nursing: December 2002 - Volume 32 - Issue 12 - p 22

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In Brief

© 2002 Lippincott Williams & Wilkins, Inc.

A patient is to receive medications through a gastrostomy which nursing actions are appropriate

What should the nurse do before giving medications via an enteral tube?

When preparing to administer feeds nursing staff must confirm the position of the enteral tube. Prior to and after feeds nurses should adequately flush the enteral tube.

What information should you document after administering medications through a gastrostomy tube?

Remove the GT plug and attach a 30- to 60-ml piston syringe. (Interrupt continuous tube feedings, if necessary.) Document the drug and amount given, the date and time, the patient's response, and your assessment of the insertion site.

What special considerations should be taken when administering medications through an enteral feeding tube?

Safe administration of medicines via enteral feeding tubes.
never mix drugs. use disposable tablet crushers (not pestle and mortar) to crush one medicine at a time and wash between crushes. ... .
flush with an appropriate volume of water before administering another drug. ... .
repeat until all drugs have been administered..