EN/PN Flashcards
-feeding tube directly into GI tract
-if oral intake isn’t possible, trauma, certain surgeries, etc
-necessary nutrients via formula
Enteral Nutrition
Formula for when GI function is normal
-least expensive
-no pre-digestion
Standard/Polymeric
Non normal GI function formula (ex: UC)
-pre-digested protein
Elemental (chem defined)
Feeding formula for diabetes, liver & renal diseases
-most expensive
Specialized
-individual nutrients can be added to other formula for supplement nutrition
Modular
Short term feeding tubes
(naso for nano amounts of time)
Nasogastric, Nasodueodenal, nasojejunal
Long term tubes (no nose)
-tube put directly into stomach wall
Percutaneous endoscopic gastrostomy (PEG)
-machine acts as feeding pump
-controls rate of formula delivery
pump-assisted
-delivers constant rate of formula
continuous feeding
delivers constant rate of formula over a specific period of hrs followed by pause
cyclic feeding
-no machine, uses syringe to deliver large volume formula
bolus feeding
-formula container opened to transfer formula
-prone to contamination
-8 hr hang time
Open system
sterile container pre-filled with formula directly administered
-controls contamination
-24/48 hr hang time
Closed system
-delivers nutrition to patients with compromised oral or E/n rates
parenteral nutrition
-nutrients delivered to bloodstream thru central vein
-long term
-when EN no tolerated or extreme conditions (peritonitis, fistula, GI bleeds)
Total Parenteral Nutrition
-nutrients delivery thru peripheral vein in arm
-post-surgery or w mod malnutrition
-not long term
peripheral parenteral nutrition (PPN)
-rate at which glucose is administered IV
-no higher than 4-5 mg/kg/min
glucose infusion rate (GIR)
excessive or too rapid refeeding after malnutrition or fasting
-electrolytes get decreased in blood (phos, mag, pot)
-sxs: heart or renal failture, edema
refeeding syndrome
ligament of Treitz
marks the separation of the duodenum and jejunum. To bypass it, one would need to use percutaneous jejunostomy for feeding access.