Nursing mangements 1 put the patient in an upright

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Nursing Mangements: 1) Put the Patient in an Upright Position. - To avoid incurring risk of aspiration, the critical care nurse puts the patient in an upright position. Many authors believe the head of the bed elevated to an angle between 30 to 45 degrees will help prevent aspiration because the effect of gravity will decrease gastroesophageal reflux and as such, the risk of aspiration. 2) Encourage to avoid excessive alcohol use. 3) Instruct to change position at least every two hours when recumbent. 4) Encourage to feed the patient in small amounts. 5) Provide oral care before and after meals and more frequently if needed. 6) Allow a 30-minute rest period before meals. 7) Evaluate Use of Continuous vs Intermittent Feedings. - Continue to evaluate the merits of continuous or intermittent feedings because it is unclear which method is better. Proponents of the continuous infusion method argue that gradual delivery of small amounts prevent distention and, therefore, decrease the occurrence of gastroesophageal reflux. Proponents of the intermittent administration say that it is a more physiologically normal feeding method and decreases the risk of aspiration by decreasing the amount of time that the enteral formula is in the stomach.
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