When gastric residual exceeds 250ml for each of two consecutive assessments the nurse should do what?

1, 3, 4
1. Avoid grapefruit and grapefruit juice, which impair drug absorption.
3. Take a multivitamin that includes vitamin D for bone health.
4. Cheese and eggs are good sources of protein.

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 250 mL 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.

What do you do with gastric residual?

Gastric residual refers to the volume of fluid remaining in the stomach at a point in time during enteral nutrition feeding. Nurses withdraw this fluid via the feeding tube by pulling back on the plunger of a large (usually 60 mL) syringe at intervals typically ranging from four to eight hours.

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 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.