- Potential for loss of skin integrity related to diarrhea
- Risk for aspiration
Planning- Patient will receive adequate nutritional support
- Side effects will be managed
- No skin breakdown will occur
- Patient will not aspirate
Interventions- Check tube placement
- Check for gastric residual before intermittent or bolus feedings
- Check continues feedings for residual every 2 to 4 hours
- Feeding should be at room temperature
- Flush feeding tube based on method of delivery
- Monitor side effects such as diarrhea
- Dilute drug solutions appropriately
- Monitor vital signs
- Monitor hydration
- Weigh patient daily
- Change feeding bag daily
Education- Patient should report diarrhea, sore throat, and abdominal cramping
Evaluation- Patient will not lose weight
- Patient will not have skin break down
- Patient will not experience diarrhea, abdominal cramping or distention
- Patient will remain in a positive nitrogen balance
- Patient will not become dehydrated
PARENTERAL NUTRITION
Parenteral nutrition support is used for patients who have severe burns, disorders
of the GI tract, acquired immunodeficiency syndrome (AIDS), or a debilitating
disease such as metastatic cancer.(^190) CHAPTER 11 Nutritional Support Therapies