A practical nurse is preparing to administer a prescribed liquid medication via a percutaneous endoscopic gastrostomy (PEG) tube to a client receiving continuous enteral feedings. The continuous feeding has been paused. Arrange the following steps for medication administration in the correct chronological order.
- 1Elevate the head of the bed to at least 30 degrees.
- 2Aspirate stomach contents to check the residual volume.
- 3Flush the PEG tube with 30 mL of sterile water.
- 4Administer the liquid medication by pouring it into the syringe barrel.
- 5Flush the PEG tube with 15 to 30 mL of sterile water.
Cevap
The correct sequence is: 1) Elevate the head of the bed, 2) Aspirate to check residual, 3) Flush with water, 4) Administer the medication, and 5) Flush again with water.
To safely administer a medication via a PEG tube, the practical nurse must prioritize airway protection by first elevating the head of the bed. Next, verifying the residual volume ensures the stomach is not dangerously full. Flushing with water then clears the tube and confirms patency before pouring the medication into the syringe barrel for gravity administration. Finally, a concluding flush ensures all the medication reaches the stomach and keeps the tube clear of residue.
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Anahtar Kavram
Safe enteral medication administration requires verifying placement, ensuring patency, preventing formula-drug interactions, and minimizing aspiration risk.