Nursing Interventions For Infants With Gastroesophageal Reflux
The nurse is teaching the student nurse about the interventions to carry out for the infant who has gastroesophageal reflux. What nursing interventions should be mentioned and why?
This solution was written by a subject matter expert. It's designed to help students like you learn core concepts.
Gastroesophageal reflux (GER) is a common condition in infants, where the contents of the stomach flow back into the esophagus, causing discomfort and other symptoms. As a nurse, there are several interventions you can carry out to help manage GER in infants:
Positioning: Placing the infant in an upright position during and after feeding can help reduce the amount of reflux. This is because gravity helps keep the stomach contents from flowing back into the esophagus. The nurse should advise the mother or caregiver to hold the infant in an upright position for at least 30 minutes after feeding. Smaller, more frequent feedings: Feeding the infant smaller amounts more frequently can help reduce the amount of stomach contents that can reflux into the esophagus. The nurse should advise the mother or caregiver to feed the infant every 2-3 hours, with smaller amounts of milk or formula at each feeding Nursing Interventions For Infants With Gastroesophageal Reflux
Thickened feedings: Adding rice cereal or other thickening agents to the infant's milk or formula can help reduce reflux by making the contents of the stomach thicker and harder to reflux. The nurse should advise the mother or caregiver to speak to the infant's pediatrician before starting any thickening agents.
Burping: Burping the infant after feeding can help reduce the amount of air in the stomach, which can contribute to reflux. The nurse should advise the mother or caregiver to burp the infant after every feeding. Medications: In some cases, the infant's pediatrician may prescribe medications to help manage GER, such as acid suppressors or prokinetic agents. The nurse should ensure that the mother or caregiver understands how to administer the medication correctly and any potential side effects.
Overall, the goal of nursing interventions for infants with GER is to reduce the symptoms of reflux and prevent complications such as aspiration pneumonia. It is important to work closely with the infant's pediatrician to develop an individualized plan of care that addresses the infant's specific needs Nursing Interventions For Infants With Gastroesophageal Reflux
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