Patient on nasogastric tube feeding, she presented with aspiration pneumonitis. They adjusted the bed to a semi-sitting position. What can we do to prevent it later? Is it nasoente... Patient on nasogastric tube feeding, she presented with aspiration pneumonitis. They adjusted the bed to a semi-sitting position. What can we do to prevent it later? Is it nasoenteric tube, PPI, or any other solution?
Understand the Problem
The question is asking what can be done to prevent aspiration pneumonitis in a patient who is receiving nasogastric tube feeding. The focus is on identifying appropriate interventions such as adjusting the type of feeding tube or medication adjustments like using proton pump inhibitors (PPIs).
Answer
Elevate bed, consider nasoenteric tube, use PPIs.
The solution involves keeping the bed elevated to 30-45 degrees, considering a transition to a nasoenteric tube, and possibly using PPIs to reduce aspiration risk.
Answer for screen readers
The solution involves keeping the bed elevated to 30-45 degrees, considering a transition to a nasoenteric tube, and possibly using PPIs to reduce aspiration risk.
More Information
Switching to a nasoenteric tube helps because it places the feeding site in the small bowel, reducing reflux risk. PPIs decrease stomach acidity and volume, potentially reducing aspiration severity.
Tips
A common mistake is not verifying proper tube placement, increasing aspiration risk. Regular check-ups and monitoring are crucial.
Sources
- Effectiveness of an Aspiration Risk-Reduction Protocol - PMC - pmc.ncbi.nlm.nih.gov
- The nasogastric feeding tube as a risk factor for aspiration - PubMed - pubmed.ncbi.nlm.nih.gov
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