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鼻饲的家庭指导(Family instruction for nasal feeding)
鼻饲的家庭指导(Family instruction for nasal feeding)
Family instruction for nasal feeding
Neurology 2010.12
Nasal feeding is the method of inserting gastric tube into the stomach through one nasal cavity, and pouring liquid diet, water and medicine from the tube. Neurological patients are mostly associated with disorder of consciousness, dysphagia and not by oral feeding, feeding and nutrition supply with heat, meet the need of body metabolism, maintain water electrolyte and acid-base balance, promote the rehabilitation of patients with one of the main methods and maintain the life of the patients. The patients nasal feeding is operated by the hospital nurse. When the patient is discharged from hospital, the family members can instruct and practice the method of nasal feeding. Therefore, the family guidance of patients with nasal feeding is an important part of the health education of the patients in neurology department.
I. diet and volume of nasal feeding
Commonly used nasal feeding diets include mixed milk and a homogenized diet. It can be composed of homogenized liquid and mixed milk in the Nutrition Department of the hospital, or all kinds of finished nutritional products purchased or prepared by the family members. Mixed milk available foods include: milk, egg, cooked, Soybean Milk thick rice soup, broth, sugar, vegetable oil, salt, etc.. The availability of homogenized diet foods include: Steamed Rice riceporridge noodles Steamed Buns, egg, fish and shrimp, chicken, pork, vegetables, meat, oil, salt etc..
Nasal feeding patients need an adaptation process, at the beginning of the nasal feeding volume should be few and dull, then gradually increased. Not eating or long time coma, first, second days to fat free rice soup, 50~100 ml each time, feeding time of 4 hours, if no special discomfort, from the beginning of the third day, you can eat homogenate. Patients who have long been on a homogenized diet should usually take 200-250 ml of water, including 6~7 doses per day
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