1, 3, 4 Show Cheese, eggs, and peanut butter are also useful high-protein alternatives. Vitamin D supplements are important for improving strength and balance, strengthening bone health, and preventing bone fractures and falls. Grapefruit and grapefruit juice can interfere with warfarin (Coumadin) (anticoagulant), preventing its breakdown. This would lead to an increased risk of bleeding. When gastric residual exceeds 250ml for each of two consecutive assessments the nurse should do what?Do not administer feeding when a single gastric residual volume exceeds 500 mL or when two consecutive measurements (taken 1 hour apart) each exceed 250 mL because of the potential for aspiration.
When checking residuals from tube feeding you collect 200 mL of residuals What is your best next action?If using a PEG tube, measure residual every 4 hours (if residual is more than 200 ml or other specifically ordered amount, hold for one hour and recheck; if it still remains high, notify doctor). If using a PEG tube, reinstall residual.
What can you do for gastric residual volume?AN APPROACH TO GASTRIC RESIDUAL VOLUMES. Replace all of the aspirate up to 500ml, discard the rest and flush with 10ml of water.. Commence metoclopramide IV 10mg q6h together with erythromycin IV 200mg bd for 24 – 72hrs.. Continue with EN at TARGET rate.. Continue to monitor GRV q6h.. What does a high gastric residual mean?Residual refers to the amount of fluid/contents that are in the stomach. Excess residual volume may indicate an obstruction or some other problem that must be corrected before tube feeding can be continued.
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When gastric residual exceeds 250 mL for each of two consecutive assessments the nurse should do what?
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