Abstract
Purpose: Ensure an adequate enteral nutrition monitoring signs and symptoms of potential adverse events Standardize the nursing monitoring of pediatric patients receiving enteral nutrition Provide accurate problem solving guidelines to follow when administering continuous enteral nutrition.
Description: The protocol, the result of a collaboration between the medical and nursing staff, identifies appropriate guidelines to follow before starting enteral nutrition by NG tube: check if tube is placed correctly and the quality/quantity of gastric residual.
The protocol:
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Ø Provides guidelines to administer the nutrition.
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ØDefines physiological gastric residual, and outlines the relevant guidelines.
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Ø Defines monitoring times of gastric residual, every 3 hours.
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Ø Defines what non-physiological gastric residual is, and outlines the relevant guidelines.
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Ø Gives indications on sentinel signs/symptoms to consider before putting on hold or discontinuing enteral nutrition.
Evaluation: The pediatric population requiring continuous enteral nutrition by NG tube includes seriously-underweight children with growth and absorption disorders.
Under this specific protocol no nutrition-related complications occurred, and families were educated on how to administer nutrition at home Children monitored have progressively grown in height and weight.
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Egman, S. 689 Enteral Nutrition Nursing Protocol. Pediatr Res 68 (Suppl 1), 350–351 (2010). https://doi.org/10.1203/00006450-201011001-00689
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DOI: https://doi.org/10.1203/00006450-201011001-00689
