Nutrition

Question 1

Decompression tubes

Answer 1

Salem sump
Miller-Abbott
Levin

Question 2

Feeding tubes

Answer 2

Duo
Levin
Dobhoff

Question 3

Lavage tubes

Answer 3

Ewald
Levin
Salem Sump

Question 4

Compression tubes

Answer 4

Sengstaken-Blakemore

Question 5

What should gastric pH be?

Answer 5

4 or less

Question 6

What is a standard (polymeric) enteral formula?

Answer 6

• 1-2 kcal/mL
• Whole-nutrients (limited to pts who can absorb whole nutrients)

Question 7

Modular enteral formula

Answer 7

• 3.8-4 kcal/mL
• Single-macronutrient
• Not nutritionally complete
• Supplemental

Question 8

Elemental enteral formula

Answer 8

• 1-3 kcal/mL
• Predigested nutrients and not nutritionally complete
• Easier for dysfunctional GI tract to absorb

Question 9

Specialty enteral formula

Answer 9

• 1-2 kcal/mL
• for specific nutritional needs but not nutritionally coplete
• Hepatic failure, respiratory disease, HIV, renal failure

Question 10

Indication for nasogastric and nasointestinal tubes

Answer 10

Short-term therapy

Question 11

Indication for gastrostomy or jejunostomy

Answer 11

Longer than 6 week therapy
Surgical insertion

Question 12

Indicaiton for percutaneous endoscopic gastrostomy or jejunostomy

Answer 12

6 weeks or longer therapy
Inserted endoscopically

Question 13

Why would an intestinal tube be indicated instead of gastric?

Answer 13

Gastroparesis, esophageal reflux, aspiration pneumonia

Question 14

What should you have at the bedside for a patient with a feeding tube?

Answer 14

Suction in case of aspiration

Question 15

What temperature should enteral formula be at?

Answer 15

room temp

Question 16

What position should patient be in for enteral feeding?

Answer 16

Semi-fowler’s, or at least 30 degrees

Question 17

How much water should you use to flush the tubing before and after feeding, and between medications?

Answer 17

30 mL

Question 18

How often should a continuous drip feeding be flushed with 30 mL water?

Answer 18

Every 4-6 hours

Question 19

How often should enteral formula be discarded?

Answer 19

Every 24 hours

Question 20

How often should gastric volume checks be done?

Answer 20

Every 4-6 hours