Enteral Tue Feeding Flashcards
Intermittent feedings
- Provided at specific times during the day
* administer by a syringe or with a feeding pump
Continuous feeding
Must be administer by a feeding pump
What ate the contraindications for inserting nasogastric and nasoentestinal tube?
Recent nasal surgery, facial o r cranial trauma, recent nosebleeds, nasal polyps, bleeding disorders, and anticoagulant therapy
How can I detect aspirations
Aspiration is suspected is patient is coughing or gagging or has dyspnea, shortness of breath, sudden pallor, tachycardia, or cyanosis w/ crackles or wheezes on the lung.
Aspiration can be confirmed by testing tracheal secretions for pepsin and w/ x-rays
What should I do if a suspect aspiration?
Turn off the feeding machine immediately and help the patient to a side lying position
Refeeding syndrome
Patients who are severely malnourished are at high risk for Refeeding syndrome
To prevent aspiration during administration of an enteral tube feeding a nurse should
Place the patient in fowler’s position.
This position is recommended during tube feeding to reduce the risk of regurgitation which can lead to aspiration
Nasointestinal tube placement
Is an appropriate choice for a patient who lacks motility ( gastric ileus) and requires short term ( less than 4 weeks) enteral feeding
Nasoenteric tube placement
Xiphoid process plus 20 to 30 cm more
for duodenal or jejunal placement 20 to 30 is required
Modular formulas
Single nutrients formulas and required a functioning tract
Elemental formulas
Contain predigested nutrients that are easy for partially functional gastrointestinal tract to absorb
Polymeric formulas
Whole nutrients and required a functioning gastrointestinal that can absorb whole nutrients
Specialty formulas
Meet specific need of patients who have a particular disorder HIV or liver failure
