ASPIRATION PNEUMONIA AND PREVENTION

Scenario: Tim was involved in a car accident about a week ago. He is responsive but lethargic. The doctor ordered enteral feeding as Tim has difficulty swallowing.

Why is enteral feeding ordered?
Enteral feeding may be ordered by the doctor for a patient who is unable to swallow. The patient with a brain injury, stroke, or on mechanical ventilation may require tube feeding.

How can aspiration pneumonia be avoided?
Aspiration pneumonia can be avoided by the nurse being vigilant. The head of the bed is generally kept at 30 degrees while tube feeding is running unless otherwise ordered.

Helpful Hints:
- Follow MD orders
- Check lung/bowel sounds
- Check for residuals
- Check abdominal distention
- Follow MD orders for high residual volume

Notes for Nurses:
- The potential for aspiration of tube feeding should be reflected in the plan of care.
- Documentation of the quantity of stomach contents should be done.
Enjoy watching the video:
Enteral and Parenteral tube feeding


Scenario: Above , there are two nurses who are in the process of transporting
 a patient , who is having difficulty breathing. The nurse on the right, is using an
AMBU bag to administer oxygen. Neither of the two nurses have observed 
that the oxygen tubing is disconnected. The oxygen saturation is not improving.
Where does critical thinking come in ?



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