EN/PN Flashcards
Who is eligible for EN
Enteral Nutrition
If the gut works, use it
Severe protein, cal malnutrition
Those who have GI function buts its compromised, UC, Acute Pancreatitis
Home/Standard type of formula for EN
Isotonic 300 mOsm
pre-digested/elemental
chemically defined
Acute pancreatitis
Specialized like Nepro
Very specific to that disease
NasoGastric
BEST
Mimics normal eating
Nasoduodenal, NasoJejunal
for those who can’t have gastric feedings
goes from the nose into SI
Nasojejunal
prevents aspiration
farthest from gastric region
Longer then 3-4 weeks
Gastrostomy (PEG)
jejunostomy (PEJ)
PEG is for who
used for head/neck cancer, or advanced dysphagia
PEJ is for who
if they can’t tolerate PEG or have a compromised gastric function
open system
hang is 4 hours
feeding is prepared on site the can it put into the feeding bag
higher contamination
closed system
hang time 24-48 hours
the bag is purchased ready to serve
Dilantin/Phenytoin
Phenobarbital
lose b12 b6 folate vit K vit D hold nutrition support 2 hours before and after administration
Propofol
1.1 cal per cc
increases weight and TG
Given before surgery, sedative
Free water
amount of water already provided in formula
1cal/cc
- 5cal/cc
- 0cal/cc
1cal/cc= 83%
- 5 cal/cc= 77%
- 0 cal/cc =70%
GRV
gastric residual volume
volume remaining in stomach during feeding
should be checked every 4 hours during the first 24 hr
pn
parenteral nutrition
admin of nutrition for patients who cannot eat or absorb enough food
TPN
given through subclavian
risk of bacterial
PPN
Is peripherally given through the small surface veins into the arm
800-900 mOsm
PPN indications
post surgery when En is expected to resume 5-7 days
mild to mod malnutrition
as a supplement to EN
total PN indications
mod to sev malnourished pts,
with GI bleeds, bowel obstruction
Malnourished cancer pts unable to eat 7-14 days
peritonitis
TPN is used with
NC 1.4- altered GI function
NC 2.1 impaired nutrient utilization
refeeding syndrome
RF-s low K, low Mag, low potassium
glucose rises fast upon refeeding after starvation causing low blood glucose
Hypoglycemia
overfeeding
caused high blood glucose
hyperglycemia
dextrose
3.4 kcal
Aminoacid
multiply by 4kcal
fat
10% multiply by 1.1
20% multiply by 2.0
GIR
glucose infusion rate
GIR = (CHO in grams X 1000/KG)/1440
