serial: '252'
sid: '428'
uuid: 064a9dc9-969b-42eb-a153-9247f6f6b59e
uri: /add_skill_description
created: '1664183997'
completed: '1664183997'
changed: '1664184061'
in_draft: '0'
current_page: ''
remote_addr: 78.84.111.119
uid: '7'
langcode: en
webform_id: skill_description
entity_type: node
entity_id: '1'
locked: '0'
sticky: '0'
notes: ''
data:
  digital_skill: '0'
  skill_category: '3'
  skill_category_responsible_person: '7'
  skill_code: ST-0219
  skill_code_number: '219'
  skill_description:
    format: full_html
    value: |
      <p style="text-align:justify; margin-bottom:11px"><span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:&quot;Times New Roman&quot;,serif">Indications: an unconscious patient (for example, a patient on artificial lung ventilation); swallowing disorders; lack of appetite due to illness (eg, cancer, sepsis, HIV); obstruction of the upper respiratory tract or esophagus; psychological problems (such as anorexia); psychiatric problems (such as severe dementia).</span></span></span></span></span></span></p>

      <p style="text-align:justify; margin-bottom:11px"><span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:&quot;Times New Roman&quot;,serif">Contraindications – shock, non-functioning digestive tract; bleeding from the gastrointestinal tract; acute abdominal clinical picture, etc.</span></span></span></span></span></span></p>

      <p style="text-align:justify; margin-bottom:11px"><span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:&quot;Times New Roman&quot;,serif"><strong>Purpose of the procedure</strong>: the student knows how to feed the patient through a nasogastric tube using the bolus method</span></span></span>.</span></span></span></p>

      <p style="margin-bottom:11px"><span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:&quot;Times New Roman&quot;,serif">The bolus method can provide:</span></span></span></span></span></span><br />
      <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:&quot;Times New Roman&quot;,serif">1. With the gravity method - a syringe (50 - 100ml) without a piston is added to the lumen of the probe. The feeding mixture is poured into the syringe and the rate of introduction is adjusted by raising the syringe higher or lowering the syringe lower.</span></span></span></span></span></span></p>

      <p style="text-align:justify; margin-bottom:11px"><span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:&quot;Times New Roman&quot;,serif">2. With a syringe - the feeding mixture is drawn into the syringe and injected into the stomach with the help of a plunger.<br />
      3. With a feeding pump – the required dose is administered with the help of an enteral feeding system and a pump.</span></span></span></span></span></span></p>

      <p style="text-align:justify; margin-bottom:11px"><span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:&quot;Times New Roman&quot;,serif">Using the bolus method, up to 300 ml of feeding solution can be administered at one time, over a period of 5-20 minutes. The introduction is repeated at regular intervals (up to 6 times a day).</span></span></span></span></span></span></p>
  skill_description_author: '7'
  skill_description_id: ''
  skill_responsible_structure: '16'
  skill_status: '30'
  skill_title: 'Performing nasogastric tube feeding - bolus method'