Learning Objectives
- Administer enteral nutrition
- Perform irrigation and suctioning of enteral tubes
- Select appropriate equipment
- Explain the procedure to the patient
- Assess tube placement
- Implement measures to prevent displacement of tube
- Modify procedures to reflect variations across the life span
- Document actions and observations
- Recognize and report significant deviations from norms
Enteral tubes are tubes placed in the gastrointestinal tract. Enteral tubes are used as an alternate route for feeding and medication administration, as well as for stomach decompression. Stomach decompression is a medical term that refers to removing stomach contents by using suctioning. Stomach decompression is commonly used after surgery or trauma to reduce pressure from fluids and gas that cause pain, nausea, vomiting, and potential aspiration of stomach contents into the lungs.
The nurse’s responsibilities when caring for a patient with an enteral tube include the following:
- Assessing tube placement and patency
- Assessing and cleansing the insertion site
- Administering tube feeding
- Administering medication
- Irrigating/flushing the tube
- Suctioning the tube
- Monitoring for complications
Administering enteral medication is discussed in “Administration of Enteral Medications.” The remaining responsibilities related to maintaining enteral tubes will be discussed in this chapter.
While the cardiovascular assessment most often focuses on the function of the heart, it is important for nurses to have an understanding of the underlying structures of the cardiovascular system to best understand the meaning of their assessment findings.
For more information on the cardiovascular system, visit the "Cardiovascular and Renal System" chapter in Open RN Nursing Pharmacology.
Specific sections include the following topics:
- Review of Basic Concepts for more about the anatomy and physiology of the cardiovascular system
- Common Cardiac Disorders for more about cardiovascular medical conditions
- Cardiovascular and Renal System Medications for more about medications used to treat common cardiovascular conditions