Enteral Nutrition

Question 1

Enteral Nutrition

Answer 1

• preferred route of nutritional support
• maintains intestinal integrity and immune function
• reduces risk of infections and metabolic complications

Question 2

Bedside/short term feeding placement

Answer 2

• nasogastric
• orogastric
• esophagostomy
• nasoduodenal
• nasojejunal

Question 3

Surgical/long term feeding placement

Answer 3

• gastrostomy
• jejunostomy
• PEG or PEJ

Question 4

No bolus feeds

Answer 4

• Nasoduodenal, Nasojeujunal, Jejunostomy

- cannot feed into small intestine

Question 5

No crushed meds in

Answer 5

Jejunostomy

Question 6

Method of choice in the ICU

Answer 6

Continuous (gastric, small bowel)

Question 7

Method to provide supplemental nutrition, usually at night

Answer 7

Cyclic (gastric, small bowel)

Question 8

• Quick, convenient, physiologic

- Avoid if high aspiration risk or poor gastric emptying

Answer 8

Bolus (gastric)

Question 9

Slower method of delivery for those who do not tolerate bolus feeds

Answer 9

Intermittent (gastric)

Question 10

Early EN

Answer 10

• within 48 hours of admission
• reduced mortality rates associated with early EN
• Not warranted for previously well-nourished, mild-to-moderately stressed adult patients who are not critically ill
• May delay initiation of EN for up to 5-7 days

Question 11

Hemodynamically instable

Answer 11

• may result in bowel necrosis due to poor gut perfusion and inc oxygen demand
• delay EN until patient is fluid resuscitated and vasopressors are being withdrawn or doses are reduced/stable

Question 12

Gastrointestinal intolerance

Answer 12

-may contribute to aspiration, requires holding feeds and impacts delivery of nutrition