Diets and feeding tubes

Question 1

Parenteral diets- TPN

Answer 1

• Central line
• Inadequate oral intake for 7-14 days
• 3 in 1 mix of protein, carbs, fat
• High osmolarity

Question 2

Parental diets- PPN

Answer 2

• Safer than TPN

- Poor gut fxn

Question 3

Parental diets- PPN

Answer 3

• Safer than TPN

- Poor gut fxn

Question 4

Regular diet

Answer 4

No restrictions

Question 5

Soft diet

Answer 5

• Soft texture for dysphagia, esophagitis

Question 6

Bland diet

Answer 6

• Non spicy, low fiber

- PUD, GERD, N/V GI surg

Question 7

Low residue diet

Answer 7

• Reduce number of stools
• ## No milk, prunes

Question 8

Clear liquid

Answer 8

• First diet returning from NPO
• Simple sugar and lytes
• Short periods

Question 9

G tube

Answer 9

• Placed in stomach
• Undergoing open surgery, can’t tolerate endoscopy
• Nutrition 6+ wks
• ## Feeding 4-6 x day

Question 10

J tube

Answer 10

• Jejunum
• Poor gastric emptying
• Aspiration via reflx
• Continuous infusions

Question 11

PEG tube

Answer 11

• Endoscopically placed G tube
• No anesthesia required
• Stomach decompression
• Not already undergoing open surgery

Question 12

NG tube

Answer 12

• Short term feeding
• Through nostril to stomach
• Gastric lavage, decompression