Home EN Flashcards
Common conditions indicated for home EN?
- Dysphagia
- Recurrent aspiration
- Severe malnutrition
- GI obstruction, impaired GI motility, gastroparesis
What may dysphagia be related to?
- CVA
- Head/neck trauma (Glossectomy)
- Degenerative diseases
Examples of degenerative diseases?
-Advanced parkinsons disease
-Amylotrophic lateral sclerosis
Multiple sclerosis
What is the most common form of EN in home EN?
- PEG
- PEJ is second most common
What is intermittent feeding?
- Formula administered via gravity drip (open system) or via feeding pump (open/closed system)
- Feeding delivered over 1 or more hours several time per day
Which patients are candidates for intermittent feeding?
Patients with normal tolerance/gastric emptying and low risk for aspiration
What is continuous feeding?
- Formula administered via gravity drip (open system) or via feeding pump (open/closed ) but usually a closed system
- Delivered over 16-24 hrs per day, at a low feed rate
- May be done during the day or overnight
Which patients are candidates for continuous feed?
Patients with impaired tolerance/gastric emptying, small bowel feeding , high risk for aspiration
What is bolus feeding?
- Formula administered via syringe inserted directly into the feeding tube
- Volume up to 500ml delivered rapidly (less than 10 mins) several times per day
Which patients are candidates for bolus feedings?
-Only for patients with normal GI function and at low risk for aspiration
Polymeric?
- Nutritionally complete
- 1.0-2.0 kcal/ml
- Intact proteins
- Protein 15-20%
- Low residue or fibre-enriched
- For normal digestion and absorption
What is compleat?
-A “real food” formulation which may be used initially to develop tolerance in patients, until switched to a more standard polymeric formula
(T/F) Jevity is a polymeric formula with low-residue/no fibre
False
Is fortified with fibre
Which is a standard polymeric formula with low fibre / low-residue?
Osmolite
Hydrolyzed?
- Nutritionally complete
- Energy density from 1.0-1.5 kcal/ml
- Peptide or amino acid based
- For impaired GI function, maldigestion and malabsorption or Gi intolerance