![]() Inability to flush with water, infuse tube feeding or administer medication.Review oral diet (if any) with RD to see if it contains elements that lead to diarrhea (i.e. Inform MD of any over the counter medications, herbals or supplements you may be taking.Ĥ. Take proper amount of medication as prescribed. Evaluate prescribed medications with RPh for possible sorbitol, magnesium, or phosphorus content. Seek MD input to controlling bowel inflammation.ģ. Report to MD any recent course of antibiotics. Discuss with MD the possible use of H2 blockers or bowel slowing medication.ī. Use clean technique when handling and storing PEG formula/equipment. Discuss with MD the possibility of switching formula (such as to one with fiber), and the possible need for pancreatic enzyme replacement or lactase enzyme.Ĭ. If diarrhea develops, decrease the rate of HEN feeding until diarrhea subsides gradually increase rate, then volume to the previous level as tolerated, as per MD instruction.ī. Build up feeding rate and volume slowly until you reach the prescribed rate. Use the appropriate feeding method (bolus, gravity or pump). Advance side effects of medications, especially antibiotics.Call MD immediately if there is evidence of bleeding or if you are experiencing severe abdominal pain.Call MD if diarrhea is excessive (a noticeable increase in watery bowel movements for 24+ hours) to avoid fluid/electrolyte depletion (see rare complications #3). ![]()
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