Gastric Tube Note:
- If a patient has a gastric (PEG) tube in the stomach, one key point is to check the residual volume.
- When you aspirate the tube and get more than 50 mL of residual fluid, this is a sign that you may need to contact the provider for further instructions.
- Flush with regular water.
- Complications: Diarrhea, infection.
- Turn off feeding 30 min before giving meds, and turn on 30 min after.
Complications of Gastric (PEG) Tubes:
- Infection: The site where the tube enters the body can become infected if not properly cared for.
- Tube Dislodgement: The tube can sometimes shift or come out of place, which can cause leakage or require reinsertion.
- Blockage: The tube can become clogged with medication or formula, requiring flushing to clear it.
- Gastric Discomfort: The patient might experience bloating, nausea, or irritation around the insertion site.
Urine Assessment Note:
- Use the acronym "COAT" to assess urine:
- Color
- Odor
- Amount
- Time
- Specifically for the amount, ensure that urine output is more than 30 mL per hour. If it's less, it might be a concern that needs attention.