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Procedure
1. Explain the procedure to the patient
2. Wash hand
3. Assemble the necessary equipment
4. Position the patient in his/ her comfortable position (mostly sitting position).
5. Pour the fluid (food) into the measuring jag as prescribed.
6. Connect the syringe with the tube.
7. Hold the syringe at an angle so that air doesn't enter the stomach and continue pouring
the fluid into the syringe or funnel.
8. Hold the syringe perpendicular so feeding can enter by gravity.
9. After feeding rinse with water and remove the syringe.
10. Cover the tip of the tube with sterile gauze using a plastic band and attach it to the
dressing.
11. Apply light dressing over the stoma and tube.
12. Comfort patient; keep the head of the bed elevated for at least 30minutes after the
procedure to aid digestion.
13. Clean return used equipment
14. Wash hands and document procedure in the client’s medical record

12.3 Parenteral Feeding
Definition: Parenteral feeding or nutrition (PN) is a method of providing nutrients to
the body by an IV route. It is a very complex admixture of individual chemicals
combined in a single container.
Purpose
Provide parenteral nutritional support to malnourished clients
Provide parenteral nutritional support to clients who are NPO for extended periods
Provide parenteral nutritional support to clients requiring bypass of the GI tract for a
prolonged period
Provide parenteral nutritional support to clients who have excess metabolic needs due to
trauma, cancer, or hypermetabolic state
Indication
Short-Term (up to 2 weeks)
Preoperative for severely depleted clients
Postoperative for abdominal surgery clients who have been NPO for several days because
of an ileus
Inflamed or ulcerated bowel needing 1 or more weeks of rest: acute exacerbations of
Crohn’s disease and colitis, radiation enteritis, acute or necrotizing pancreatitis, or an
enter cutaneous or high-output fistula
Congenital anomalies before surgical repair: intestinal obstruction, tracheoesophageal
fistula, midgut malrotation, volvulus, and omphalocele
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