Enteral Feeding - 17 th Edition CPNE Study Guide - Excelsior pg 270-271

Feeding by bottle, tube or other device to infants, children or adults.

• For all feedings:
• select the correct formula
• position the patient
• deliver the feeding
• When assistance is designated:
• choose the appropriate device
• burp an infant under six months old periodically, as needed
• Administer the feeding at room temperature unless otherwise directed.
• intermittent Tube feeding:
• determine the amount of feeding
• calculate the gtts/min
• verify the location of a NG by:
• instilling 10-20 cc (5 mm for child <2) of air into the tube while listening to the abdomen
• aspirate amount of gastric contents
• record amount of gastric contents
• reinstill gastric contents
• initiate feeding within 30 minutes of scheduled time
• regulate the rate to be within the specified time by
• adjusting the flow rate to within 5 gtts/min
• or setting the icd to the prescribed flow rate.
• continuous tube feeding:
• within the first 20 minutes
• verify type of feeding
• verify rate either by gtt/min or icd setting
• regulate the flow if needed within 5 gtts/min
• or adjusting the rate on an ICD to the ordered rate.
• document same on the PCS recording form
• verify the position at least once during the PCS by
• instilling 10-20 cc (5cc for child <2) air and listening to abd and
• aspirating gastric contents
• when measurement of gastric residual is designated:
• measure gastric residual
• reinstill gastric residual unless contraindicated
• determines the amount of feeding to be administered
• Records the kind of oral feeding administered
• Records the name and strength of the feeding product for a  patient receiving a tube feeding
• Records the amount of feeding
• Records the volume of gastric residual measured