a nurse is caring for a client who has a percutaneous endoscopic gastrostomy This is a topic that many people are looking for. khurak.net is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, khurak.net would like to introduce to you Nursing Demos: Administration of Medication via Percutaneous Endoscopic Gastrostomy Tube. Following along are instructions in the video below:
Keyboard music hi. Im sarah and today. Were going to do g tube tube medication administration.
So were going to verify that we have our patients and our physicians order. Okay. So we have jamie jones mrn number 5891351329 date of birth 1 16.
62. And we want to verify that the patient has no known allergies so today. Were gonna do the medication administration.
So again im going to compare the mar with the physician orders. I have jamie jones. Mr.
5891351329 date of birth 1 16. 62. The patient has no known allergies.
The patient is currently npo with medications per g tube i see today that the patient has morning medications due at 10 00 am. Im going to now take my mar and go to the med cart and prepare medications to administer to the patient. Im gonna do my hand hygiene okay.
So were going to perform our first check grab the patient medications here. I see this is jamie jones. Date of birth 1 16.
62. Mrn number 5891351329 okay. I see here i have potassium elixir.
20. Meq daily per g tube. Potassium chloride.
20. Meq per 30 mls expiration date. 12.
20. 50. So were good next.
Medication. Erythromycin. 250.
Capsule every six hours per g. Tube. Due at 10 00 am.
Erythromycin here. 250 capsule every six hours. And im going to give this per g tube next.
Medication lopressor 50 milligrams per. G. Tube twice daily due today at 10 00 am medication.
Lopressor 50. Milligram tablet. And that is it for our g tube.
So now im going to perform my second check. Again. I have erythromycin 250 milligram.
Capsule every six hours per g. Tube. Due at 10 00 am.
Again lopressor 50 milligrams per. G. Tube twice daily due today at 10 00 am and potassium chloride elixir.
20 ml equivalent per daily per g tube due today at 10 00 am expiration date of 12 20. 50. And i also checked the expiration date on my other medications and they are good to go so now im going to prepare my medications so ive completed now my first and second check along with my six rights.
I will complete the documentation after i have administered the meds going to don my gloves okay my first medication is the potassium elixir and im gonna grab a med cup here 20 meq so it says here on the bottle 20 meqs per 30. Ml. So that means.
Im going to need 30 mls of this solution now each of your medications. Should have a separate medication cup. So now im gonna measure this out okay.
Thats my potassium. 20. Meqs.
With 30 mls okay my next medication is erythromycin. 250 capsule since this is a capsule. We cant crush it but were gonna go ahead and open.
The capsule and put the powder inside of the med cup here and open. This capsule and prior to doing all this i did check all my medications. I know the reason and the side effects and any nursing implications that i might need to be concerned about prior to administering the medication patients vitals were stable and labs were good for the morning.
Okay. Thats my erythromycin next. I have the lopressor 50 milligrams for the g tube this medication since its a tablet.
Im going to have to crush so you want to make sure that your pill crusher is clean. Which it is and then im gonna have to clean it after use im gonna put the 50 milligram tablet in there im gonna crush it come on okay the other option would be to use the silent knight here okay. Ive got my medication all crushed.
Im gonna put it in its med cup gotta. Get it all in there okay and then we need to make sure we clean it after we use it so were gonna grab an alcohol wipe here and im gonna clean it get any so when the next person comes to use it its all ready to go now. Im going to dilute my medications with about 15 mls okay i need to grab my piston and the container.
Were gonna put our medications here on a traycause were gonna go to the patients room. I also am gonna grab a tongue depressor perform my hand hygiene okay now were about to enter the patients room knock knock knock hi. Mr.
Jones. Its sarah again. Im here to administer your medications how you doing any pain okay good all right im performing my hand hygiene.
Im going to don my gloves okay then we want to make sure that the patient is positioned at a 45 to 90 degree angle. Whirring okay. Hows that is that okay for you and then im gonna bring it up to a comfortable height for me okay.
Mr. Jones can you verify your name and date of birth for me. Jamie jones.
We have here mr.
5891351329 and date of birth. You said is 1 16. 62.
Great okay any pain or abdominal discomfort. No okay good im just gonna take a quick listen here okay now were gonna check for tube placement. So we want to drop about 30 milliliters of air okay.
Were gonna put the tube into the patients tube or the piston into the patients tube place the stethoscope over the patient. Im gonna instill the air listen for a swishing sound okay sounds like placements good now. We want to aspirate for any content.
Okay anything less than 250 can be instilled back into the patient. Okay remove my piston here. I want to close up the g tube.
So nothing leaks out all right now. Were gonna get ready to administer meds. So lets make sure everything is full diluted mix everything up here.
So heres our lopressor. This is for your heart. I verified that your vitals are stable.
So its okay to give your erythromycin. Thats here thats an antibiotic and your potassium your potassium was a little low today. So were gonna give you some of that okay all right and thats already diluted in a liquid form now.
Im going to take the piston out again. Im gonna take the plunger out. Im gonna put the syringe back into the patients g.
Tube. Here were going to administer a 15 about a 15 milliliter flush. I made sure that i have enough water in the graduate for each flush.
Okay. So theres about 15 mls okay flush make sure theres no clogs or anything now were gonna administer our medication so first here i have the lopressor and after each medication youre going to flush as well so another 15 mls of flush. Theres some water okay good.
Let that clear then our next medication. The antibiotic. Okay and another 15 ml flush and lastly the potassium and last youre gonna do a 15 to 30.
Ml flush. After the last medication. Okay.
Good then remove the piston close up the g tube. Okay. Mr.
Jones. Ive given you all of your medications is there anything else i can do for you right now put my side rail back up. The patient has his call light gonna lower the bed remove my gloves perform my hand hygiene okay.
Mr. Jones im gonna go document what i did right now you let me know if you need anything ill be back in about an hour to check on you now im back at the nurses station. And im going to document.
We want to document right patient right medication right dose right route right time and correct documentation. I also want to document how much fluid i gave the patient during the medication. Administration and that he tolerated the procedure well i also resume tube feedings prior to leaving the room per.
The physician orders and that concludes our g tube medication. Administration skill for the day light keyboard music. .
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