Wednesday, May 8, 2019

Use of Folley Catheters in Place of Gastric Tubes for Administration Research Paper

Use of Folley Catheters in Place of Gastric Tubes for Administration of Enteral Nutrition - Research Paper ExampleThe naso gastric resistance moves by dint of the nose into the buccal cavity to the throat where it routes to the stomach. Another major utilisation for the nasogastric render is to provide the long-suffering with medicines that the longanimous could not take otherwise. Nasogastric tubes come in various standard depths that atomic number 18 marked on the tubes. The healthcare must measure the distance from the patients nose to the location of the xyphoid process. Gastric tubes are marked at the measured length before insertion to ensure adequate reach without any danger of clogging due to excess tube length. Before insertion, it is common to lubricate the gastric tube at the insertion end using topical anesthetic anesthetics such as 2% xylocaine gel. Other than local anesthetics, penniless vasoconstrictor sprays may be used as well. The nasogastric tube is then inserted into one of the patients anterior nares. Care has to be exercised when guiding the tube through the patients nasal cavity into the throat region. The tube is directed downwards and backwards as it is inserted. If a patient is combust during the insertion process, they may gag as the gastric tube reaches the oropharynx and then enters the posterior pharyngeal wall. In such a case, the patient is asked to mimic swallowing or is provided with some water to sip. As the patient imitates swallowing, the tube is inserted further. As soon as the tube moves beyond the pharynx and into the esophagus, it slides easily down into the patients stomach. ... The removal is done slowly especially if the patient is wake. In case that the patient develops a gag, he is instructed to sip some water or to imitate swallowing to ease the congestion. Once the gastric tube is removed, the come out is cleaned using any acceptable anti-bacterial agent such as povidone iodine. After cleaning, the st ation dries itself in line while the healthcare provider prepares the Foley catheter sized between 14 and 18 fr. The catheter is sterilized before use after which it is inserted into the patients system. Before insertion it is ensured that the balloon of the catheter is not leaking through a exertion insertion of unproductive water. The Foley catheter is inserted into the patients system comparable to the gastric tube insertion with poor differences in the overall procedure. Once the Foley catheter is in position, the balloon is secured in position by inflating it with 10 to 15 cc of sterile water. Light tugging confirms that the Foley catheter is firmly in position. In case that the catheter is still shifting, more sterile water is added. In case this fails to work, the catheter may need to be replaced due to a leaking balloon. The entry site is dressed once the procedure is complete to discourage infection. Research suggests that the use of Foley catheters is preferable to the use of gastric tubes for enteral nutrition. One primary advantage offered by Foley catheters is their lower cost when compared to gastric tubes. The rate of chastening of gastric tubes and Foley catheters is comparable with the rate of failure being slightly higher in gastric tubes (Kadakia, Cassaday, & Shaffer, 1994). genuine research also suggests that Foley catheters can be utilized in place of gastric tubes for enteral

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