HEN Troubleshooting
Contents
1. HEN Cards Aug2007 indd 7 D 31 8 07 10 56 42 AM HEN Troubleshooting home enteral nutrition Problem Possible Causes Action Contact Dehydration e Persistent diarrhoea and or Give more water via tube Contact your nutrition support Symptoms include vomiting health professional or seek excessive thirst dry Prolonged fever medical advice mouth cracked lips e Insufficient fluid intake weight loss fever FE 2 decreasing urine rr output Constipation e Inadequate fluid intake e Ensure prescribed volume of formula and Contact your nutrition support o e Medication fluid is given health professional or seek e Inadequate fibre intake melanie zZ e Decreased physical activity J i Diarrhoea e Medications being taken e Check with your doctor to make sure Contact your nutrition support o e Formula being given too medication is not aggravating your health professional or seek quickly diarrhoea medical advice Formula too cold e Discuss the formula and infusion rate with e Formula may be your nutrition support health professional contaminated with bugs Allow formula to reach room temperature bacteria prior to use e Ensure preparation and storage of formula is hygienic Reorder Code 10108308 Home Enteral Feeding Troubleshooting HEN Cards Aug2007 indd 8 D 31 8 07 10 56 42 AM2. i a E HEN Troubleshooting home enteral nutrition Problem Possible Causes Action Contact Aspiration e Reflux of formula e Cease administration of feed If you suspect aspiration go to Symptoms coughing Food or fluid entering the e During feed ensure a semi up right the emergency department in choking gurgly voice lungs position of at least 30 degrees your area or call an ambulance after feeding recurrent e Remain in up right position for at least 30 D chest infections minutes following feed Hypergranulation e Many causes e Check the tube is fixed correctly not There are specific medications or overgrowth of too loose or too tight Does not require and treatments for f granulation tissue treatment unless it is causing major hypergranulation Contact proud flesh problems such as bleeding Persistent your nutrition support health over granulation may require medical professional or seek medical D treatment advice i Nausea and Vomiting Feeding to quickly e Sit up at 30 degree angle or more while Contact your nutrition support gt e Person not in correct feeding and for 30 minutes after Ensure health professional or seek Lu position when having feeds formula is given at room temperature medical advice m s Fornulatoicoid If vomiting continues stop the feed and seek medical advice e Constipation Reorder Code 10108308 Home Enteral Feeding Troubleshooting
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