Chapter 9- Enteral Nutrition

Question 1

when is enteral nutrition needed?

Answer 1

when client cannot consume adequate nutrients and calories orally but maintains a partially functional gastrointestinal system

Question 2

nasoenteric tubes

Answer 2

short-term (less than 3-4 weeks)

Question 3

nasogastric tubes

Answer 3

short-term use, goes from nose to stomach

Question 4

nasodudodenal tube

Answer 4

tubes pass from the nose through the stomach and end in duodenum

Question 5

nasojejunal tube

Answer 5

pass from the nose through the stomach and end in jejunum

Question 6

which tubes are used in clients who are at risk for aspiration?

Answer 6

nasoduodenal and nasojejunal tubes

Question 7

ostomies

Answer 7

placed for clients requiring LONG-TERM enteral feeding

Question 8

gastrostomy tubes

Answer 8

long term use, tube inserted directly into the stomach (or intestines)

Question 9

what is the alternative to the PEG tube

Answer 9

• skin level gastrostomy (aka low profile gastrostomy)

- more comfortable, longer lasting, and fully immersible in water

Question 10

standard formulas

Answer 10

contains WHOLE proteins, requires fully functioning GI tract

Question 11

how much calories can standard formula provide?

Answer 11

1.0-1.2 cal/mL

Question 12

hydrolyzed formula

Answer 12

contains PARTIALLY digested proteins, use for impaired GI tract

Question 13

how much calories can hydrolyzed formula provide?

Answer 13

1.5-2.0 cal/mL

Question 14

when should you measure tube?

Answer 14

each shift and before each feeding

Question 15

when do you discard bags/tubing?

Answer 15

every 24 hours

Question 16

when do you measure gastric residual?

Answer 16

every 4-6 hours, return residual to stomach

Question 17

How much and when do you flush?

Answer 17

flush feeding tubes with 30 ml water every 4 hours (warm ) Helps maintain PATENCY

Question 18

how high do you elevate HOB?

Answer 18

elevate HOB to 30 degrees during feeding, and for 30-60 min after feeding

Question 19

when do you flush?

Answer 19

flush tubing with 15-30 ml of water before, after, and in bw medications

Question 20

how much do you fill feeding tube?

Answer 20

fill feeding bags with only 4 hours worth of formula to prevent bacterial contamination

Question 21

cyclic feeding

Answer 21

administered at continuous rate over 8-12 hours time period

-during sleeping hours

Question 22

intermittent tube feeding

Answer 22

administered every 4-6 hr in equal portions of 250-400 mL over 30-60 min time frame