Nutrition

Question 1

What are the disadvantages or complications with parenteral feeding?

Answer 1

Dehydration + electrolyte imbalance - re feeding syndrome, damaged plasma glucose, hyperlipidaemia

Thrombosis - central line thrombosis - PE/SVC obstruction

Infection - sepsis

Question 2

Name the routes enteral of nutrition administration?

Answer 2

Oral 
Nasogastric 
Nasojejunal 
Gastrostomy (surgical or PEG) 
Jejunostomy

Question 3

When is nasogastric feeding used?

Answer 3

Dysfunctional swallow - nutrient, fluids + medications

Decompress stomach

Question 4

When is nasojejunal route used?

Answer 4

Gastric outlet obstruction

Delayed gastric emptying

Post-gastrectomy

Pancreatitis

Question 5

When is gastrostomy feeding considered?

Answer 5

If oseophagus blocked or dysfunctional

Pt comfort

Pts likely to need long term (4 weeks or more) enteral tube feeding

Question 6

When is jejunostomy used?

Answer 6

If stomach inaccessible or outflow obstruction

Helps reduce N/V + risk of pulmonary aspiration + GORD