Enteral Nutrition Flashcards
to not die :)
What do you have to do before feeding?
do imaging to confirm placement of tube- radiologist will tell you
What is the normal lab value range for Potassium (K)?
3.5-5.0 mmol/L
What is the normal lab value range for phosphate (PO4)?
0.80-1.35 mmol/L
What is the normal lab value range for WBC?
4.0-11.0 E9/L
Which medications have sedative side effect?
sertraline (antidepressant), clonidine (antihypertensive), loxapine (schizophrenia)
What is a major advantage/benefit of using enteral nutrition?
maintains gut integrity & supports gut barrier function
when would EN be used?
when there’s a functional GI tract & clinical conditions in which oral intake is impossible, inadequate, or unsafe
What are enteral contraindications?
-non operative GI obstruction
-peritonitis
-severe short bowel syndrome (<100cm small bowel)
-ileus
-distal high output fistula
-sever GI bleed, malabsorption
-GI ischemia
-no access to GI tract
What is the RD enteral responsibilities?
-determine location of feed
-formula selection
-administration
-calculate nutrient requirements
-asses tolerance/S.E.
-monitor pt. condition
-transitional feeding
What are GI access sites?
where the tube enters the body and where tip of tube is located
what does deciding on an enteral route depend on?
-duration of need
-anatomy and function of GI tract
-equipment available
-risk of aspiration/HOB
What are the different GI access sites?
-nasogastric
-nasoduodenal
-nasojejunal
-orogastric
-gastronomy
-PEG (percutaneous endoscopic gastronomy)
what are the advantages of nasogastric feeding?
-uses and stimulates normal digestive function
-flexibility in administration
- medications can be placed in this tube
-tube insertion at bedside
what are the disadvantages of nasogastric feeding?
-aspiration
-discomfort for patient
-nasal irritation
-tube displacement
What are the indications of using nasogastric enteral access?
normal GI function
