2: Enteral Feeding Flashcards
What is enteral feeding
Delivery of nutrition via GI tract
What is first-step enteral feeding
Oral supplementation
Give an example of oral nutritional supplement
Fortsips
What is a contraindication of ONS
Unsafe swallow
What is an NG tube
Inserted via nose and passed to stomach
What are the indications for NG tube feeding
Unsafe swallow
Not maintaining intake orally
Short-term
What are the two CI to NG tube feeding
Delayed gastric emptying
Basal skull fracture
What is a NJ tube
Inserted via nose into jejunum
When is a NJ tube preferentially used over NG tube
- Delayed gastric emptying
- High risk of gastric aspiration (gastric atony or gastroparesis)
- Severe GORD
What are 4 CI to NG tube
- Upper GI obstruction
- Short-Gut syndrome
- Recent fundoplication
- Oesophageal atresia
- Oesophageal varices
What is a PEG tube
Incision made in abdomen and tube inserted directly into stomach
When is a PEG tube used
- Requiring nutrition for more than 4 Weeks
- Unsafe swallow (MND, PD, Oesophageal Cancer)
- Head and Neck cancer receiving radiotherapy
What are contraindications to PEG tube
- Gastric Ulcer
- Gastric Outlet Obstruction
- Neoplasm
- Bowel Obstruction
- Previous Gastric Surgery
- Ascites
- Peritonitis
- Severe reflux
What is a PEG-J tube
Tube inserted through incision in abdomen to stomach then into jejunum
What is a PEJ tube
Tube inserted through incision in abdomen directly to jejunum
