assisted feeding Flashcards
1
Q
when do we need to consider assisted feeding
A
- can they /will they be able to eat on their own
- have they been anorexic for 12-24 hours
- any concerns regarding weight loss and nutrition
- increased losses (protein, renal diseases et)
- increased requirements
- ## need to bypass area of GIT
2
Q
what is a nasoesophageal/nasogastric tube and what are the pros/cons
A
- feeding tube bassed through nose and into esophagus before cardiac sphincter or into stomach
- cheaper
- leave in 7-10 days
- well tolerated
- can send home
- bypasses mouth
3
Q
what is an esophagostomy
A
- feeding tube passed through surgical incision into esophagus bypassing mouth
- can stay in several weeks
- well tolerated
- expensive - done over GA
- can get more food (thicker) down tube as larger
- can send home if O can manage home care
4
Q
what is a percutaneous (endoscopic) gastrotomy tube
A
- stay in in theory years (ethical?)
- slightly less tolerated (easy to access)
- costly (GA, expertise, equipment)
- can out in more thicker food
- can send home
5
Q
what are general rules for feeding tube upkeep and use
A
- flush and keep clean
- liquid or mixed diets
- dilute clinical diets
- dont feed too much (vomit)
6
Q
what are some common problems with feeding tubes and their causes
A
- blockages (poor cleaning, not flushing)
- dislodged (movement, coughing/sneezing/vomiting)
- trauma
- infection
- over-granulation
7
Q
how should you go about feeding a patient with a feeding tube from day one after placement
A
day 1: feed one third of daily requirement
day 2: feed 2/3 daily requirement
day 3: feed entire daily requirement as long as day 1 and 2 went well
