Hi, I am a first semester nursing student and we are learning about nutrition/tube feedings right now. I have a worksheet I am working on, but the book does not seem to be very helpful in that is only gives descriptions, but not specific actions to take.
The question I need clarification on is: "A patient is receiving PEG tube feeding at 60mL/hr. The nurse checks the residual and aspirated 150cc or undigested feeding. What action should the nurse take next?"
My problem is that my book only talks about what PEG tube feeding is, but does not give an explanation as to what is an acceptable volume for gastric residuals. I have tried using Google to get some help and have gotten a few different answers. The first approach was to multiply the amount given by 2 (60x2=120), and what would be used as a guideline. Or I have also been reading that anything below 250cc is acceptable.
So, in the case of my question, would 150cc be an acceptable amount since it's below 250, or does that value need intervention since it is above 120?
And if it does need intervention, is stopping the feeding the an appropriate action?
Any clarification would be helpful!
I will probably stick with 250 as my frame of reference, since I seem to be seeing that a fair amount. Thanks for your help!
And we were assigned the reading for this chapter and given a worksheet to answer, but lecture is not until Tuesday. So, it is a a little backwards
Last edit by cara519 on Feb 17, '13