Goal

When patients have a hard time intake food on their own, they need to be fed via nasogastric tube which transports polymeric formula to provide nutrition demanded by their body.

Subjects in need of bolus feeding

1. patients living on nasogastric tube for food.
2. Use the gastrostomy or jejunostomy feeding.

Notes

1. Please wash your hands thoroughly with soap first before feeding the formula.
2. Please follow the time scheduled marked on the cup.
3. Do not heat up prescribed formula as not to destroy nutrients.
4. Do not store the formula in the fridge if it is not unsealed; with the unsealed formula, label the used schedule on the lid and use it up within 24 hours once it is opened.
5. Raise the bed head up 30 to 45 degrees before each feeding, the entire feeding process should take at least 15 minutes.
6. Remain the same position after feeding to prevent aspiration pneumonia.
7. For mixed formula, finish feeding patients in 30 minutes; if it stays under normal temperature for more than two hours, dispose it.
8. Do not push an empty tube during feeding.
9. Please check patient’s gastric residual volume or digestion condition before feeding the formula. If the sucked out amount is greater than half of the amount from last feeding, postpone the feeding an hour later.
10. To prevent infection or blockage, rinse the tube with 40-50c.c. of warm water before and after feeding.
11. Stop feeding immediately once you detect abdominal distension, pain, coughing, or vomits from patients. 
12. Care the oral cavity and use the cotton to clear up patients’ nostril every day.
13. An hour prior to or after the feeding, avoid activities like sucking phlegm, turning, and pating patients’ backs.

Common complications

• If there is doubt regarding information provided above, contact our nutritionists or consult the clinic for further guidance.

Feeding plan chart

Nutritionist:

Heat:         Kilocalorie:        Protein:     g