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NF 2 - Midterm 1 > Module 7 - Enteral Feeding > Flashcards

Module 7 - Enteral Feeding Flashcards

1
Q

Purpose Enteral Feedings

A

Enteral nutrition is giving nutrients via the gastrointestinal tract
- Client cannot ingest food (still able to digest/absorb nutrients)

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2
Q

Nasogastric feeding

A

Passes through the nose and into the stomach

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3
Q

Oral-gastric feeding

A

OG tube, tube passes nose and inserted orally into the stomach

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4
Q

Gastronomy feeding (PEG)

A

Passes through the skin and into the stomach

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5
Q

Jejunostomy (PEJ or J tube)

A

Passes through skin into the jejunum – the upper part of small intestine

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6
Q

Combination: Gastronomy/Jejunostomy Tube (G-J Tube)

A

Feeding tube has 2 openings - one that passes through the skin into the stomach and another that passes through the skin into the jejunum

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7
Q

Indications for Enteral Feeding

A
  • Cancer
  • Critical illness/trauma
  • Neurological/Muscular disorders
  • Gastrointestinal disorders
  • Anorexia
  • Severe depression
  • Difficulty chewing/swallowing
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8
Q

What is Parenteral Nutrition?

A

Form of specialized nutrition support in which nutrients are provided intravenously

  • Central venous catheter (CVC)
  • Central venous access device (CVAD)
  • Requires careful monitoring to prevent/treat metabolic conditions
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9
Q

Nursing assessments prior to Enteral Feeding

A
  • Clients need/function
  • MD’s order
  • Allergies
  • Bowel sounds
  • Nutritional status
  • Tube placement
  • Weight
  • Hydration
  • Skin integrtiy
  • Positioning
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10
Q

How do we verify placement of tube?

A
  • X-RAY confirmation
  • Auscultation
  • Checking tube markings
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11
Q

Polymeric Formula

A

Milk based blended food prepared by staff/family

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12
Q

Modular Formula

A

Single macro-nutrients (protein, lipids, glucose) that is added to other foods

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13
Q

Elemental Formula

A

Contains predigested nutrients that are easier to absorb

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14
Q

Specialty Formulas

A

Designed to meet specific nutritional needs in certain illnesses

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15
Q

Complications of Enteral feedings

A
  • Pulmonary aspiration
  • Diarrhea
  • Fluid overload
  • Tube displacement
  • Abdominal cramping/nausea
  • Electrolyte imbalance
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16
Q

Pulmonary Aspiration Cause and Intervention

A

Unwanted materials entering the lungs: feeding tube displaced, supine position, reflex disease

Intervention:

  • Verify/re-position tube
  • Reassess position
  • Lower rate of delievery
17
Q

Diarrhea Cause and Intervention

A

Bacteria contamination, allergy, malabsorption

Intervention:

  • Check expiry dates
  • Delivery continuously but at lower rates
  • Treat with antidirrhea medications
18
Q

Constipation Cause and Intervention

A

Lack of fibre, water, and medication issue

Intervention:

  • High fibre formulas
  • Add water
  • Stool softener
19
Q

Enteral feeding client education

A
  • Intake/output (electrolytes)
  • Observe signs of intolerance (bloating, diarrhea, constipation)
  • Tender abdomen
  • Skin integrity
  • Weight
  • Respiratory status (SOB)
  • Promote mouth care
  • Monitor blood sugar
20
Q

Gastric Residual

A

Volume of fluid in the stomach, it indicates if gastric emptying is delayed

21
Q

Re-feeding syndrome

A

Sudden shift in electrolytes due to re-instituting nutrition ex) Patients with Anorexia, fasting, extreme dieting

22
Q

What should you Record and Document for Enteral Feedings?

A
  • amount of formula
  • type of formula
  • clients response/tolerance
  • type of tube
  • stoma site
  • skin integrity
  • bowel sounds
  • side effects
  • status of feeding tube
  • after care/education
  • diagnostic tests
23
Q

Interdisciplinary resources for Enteral feeding patients

A
  • Nutritionist
  • Gastrointestinal specialist
  • Feeding clinic
  • Client’s medical chart
  • Diagnostic tests
  • OT
24
Q

LPN responsibility regarding lab values and electoyles

A
  • Record and Document
  • Intervention
  • Advise MD/charge nurse of any changes
  • Care planning
25
Q

Common complications of Enternal Feeding

A
  • Diarrhea
  • Constipation
  • Skin issues
  • Dehydration
  • Peritonitis (infection in abdomen)
  • Blockages/obstructions

NF 2 - Midterm 1 (7 decks)

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