護理專業(yè)英語-鼻飼給藥法

ADMINISTERING MEDICATION THROUGH A FEEDING TUBE

鼻飼給藥法

Assessment

評估

1. Assess for any contraindications to client receiving oral medication.

1、病人口服藥物禁忌癥。

2. Assess client's medical history, history of allergies, medication history, and diet history.

2、病人醫(yī)療史、過敏史、用藥史與飲食史。

3. Gather and review assessment and laboratory data that may influence drug administration.

3、收集和審查可能影響給藥的評估結(jié)果及實驗室資料。

Implementation

實施

1. Use Standard Protocol.

1、按標準程序開始操作

2. Elevate head of bed to high Fowler's position, at least 30 degrees, or place in reverse Trendelenburg if spinal injury present.

2、抬高床頭至高弗氏位（至少30度)，如有椎骨損傷，則病人處反向特倫伯氏位。

3. Prepare medication for instillation in feeding tube.

3、準備鼻飼藥物。

• Review five "rights" for administration of medication.
• Tablets: Crush pill (in its package if possible) with pill crusher. Dissolve the powder in 15 to 30 ml warm water.
• Capsules: Open and dissolve the powder in 15 to 30 ml warm water.醫(yī)學 全在.線提供
• Gelatin capsules: Aspirate with a syringe, or capsule may be dissolved in warm water over several minutes. After capsule dissolves, remove its gelatin outer layer.

• 藥物“五對”。
• 片劑：用碎藥機壓碎藥片（或壓碎于藥品包裝內(nèi))，并溶于15－30ml溫水中。
• 膠囊：打開膠囊，用15－30ml溫水溶解藥粉。
• 凝膠膠囊：用注射器抽吸，或用溫水溶解膠囊。待膠囊溶解后，除去凝膠外層。

4.Check placement of feeding tube.

4、檢查飼管位置。

5. Aspirate stomach contents for residual volume, determine volume with graduated container if necessary, and reinstill to client.

5、抽吸胃內(nèi)容物檢查剩余氣量。必要時可用刻度容器確定其容積。注入胃內(nèi)容物。

6. Pour dissolved medication into syringe and allow to flow by gravity into feeding tube. Flush with 10 ml water after each medication.

6、將溶解后藥物倒入注射器，任其自由流入飼管。每次給藥后即用10ml水沖洗。

7. Follow medication with 30 to 60 ml of water to flush tube of medications.

7、給藥后用30-60ml水沖洗給藥管。

8. Use Completion Protocol.

8、按結(jié)束程序完成操作。

Evaluation

評價

1. Observe for desired effects within appropriate time frame, depending on medication administered.

1、根據(jù)藥物特性，按時觀察預期效果

2. Verify tube patency before and after medication administration.

2、給藥前后應確認飼管暢通。

3. Identify Unexpected Outcomes and Nursing Interventions

3、確認意外結(jié)果及護理措施

Record and Report

記錄和報告

1. Placement of NG tube.

1、鼻胃管放置。

2. Characteristics of stomach aspirate.

2、胃抽出物特征。

3. Medication administration.

3、給藥情況。

4. Client's response.

4、病人反應。