Nutrition Tube Feeding

Question 1

Any form of nutrition delivered to GI tract orally or by tube.

Answer 1

Enteral Nutrition

Question 2

True or False: Can tube feedings be supplemented to general diet or replace oral intake

Answer 2

True. Tube feeding can be a meal replacement

Question 3

What ways do enteral feeding differ from one another?

Answer 3

Osmolarity, digestibility, calories, viscosity, fat content, fiber content and expense

Question 4

True or False: Can tube feeding contain predigested proteins.

Answer 4

True

Question 5

What is the percentage in terms of protein, CHO, Fat for tube feeding?

Answer 5

16% protein 54% CHO 30% Fat

Question 6

True or False: Do you have to have an intact GI tract to have tube feeding performed?

Answer 6

True. GI tract must be intact. May have a colostomy bag

Question 7

What are reasons for getting a Enteral Nutrition?

Answer 7

Inability to ingest foods,
Upper GI is impaired or movement of food to small intestine is disrupted
Inability to meet nutritional needs
Inability to ingest enough calories to meet increased metabolic needs
Inability to digest or absorb food

Question 8

What would be reasons for inability to ingest food?

Answer 8

Oral Cancer, trauma, unconscious, impaired swallowing

Question 9

What would be a reason to get enteral nutrition got a person who has the inability to digest or absorb food?

Answer 9

Biliary disease, ulceration colitis

Question 10

What are different formulas for Tube feedings?

Answer 10

Blenderized
Milk Based
Lactose Free
Complete Formulas with predigested nutrients
Special; renal & Hapatic

Question 11

What length is considered short term nutritional support?

Answer 11

Less than four weeks

Question 12

What are the disadvantages to short term nutritional support?

Answer 12

Risk for aspiration
Can not sit up during feedings
Dysfunctional gag reflex
Gastric stasis
GERD

Question 13

True or False: Nasoenteric Tubes or Nasogastric has multiple lumen?

Answer 13

False. They have one lumen of various sizes ranging from 8-10 French for Adults.

Question 14

What 2 most common feeding tubes devices require a guide wire for insertion

Answer 14

Dobhoff and Keofeed II

Question 15

What prevents the tube from retracting up the esophagus?

Answer 15

Tungsten weighted tip

Question 16

What is the insertion point for Nasogastric insertion

Answer 16

Inserted through the nostrils

Question 17

What is the order by way which the nasogastric feeding tube is inserted?

Answer 17

nostrils, nasopharynx, stomach

Question 18

Ture or False: Must you have an intact gag and cough reflex prior to insertion of nasogastric tube?

Answer 18

True

Question 19

True or False: Nasojejunal tube or shorter than the nasogastric tube?

Answer 19

False. Nasojejunal tube is longer, because it bypasses the stomach and enters the small intestinal.

Question 20

How long does it take for the nasojejunal tube to pass from the stomach to the intestines?

Answer 20

24 hours

Question 21

Is the nasogastric tube longer or shorter than a nasojejunal tube?

Answer 21

Nasojejunal tube is longer

Question 22

Where is the nasojejunal tube inserted?

Answer 22

Into the small intestine

Question 23

True or False: Could nasojejunal tube be used for patients with high risk for aspiration?

Answer 23

True

Question 24

What us considered long term for jejunostomy tube?

Answer 24

6-8 weeks

Question 25

What is the difference between a G tube and J Tube?

Answer 25

G Tube = Gastrostomy in the the stomach | J Tube = Jejunostomy into the small intestine

Question 26

PEG stands for what?

Answer 26

Percutaneous Endoscopic Gastrostomy

Question 27

What is a PEJ?

Answer 27

Percutaneous endoscopic jejunostomy

Question 28

Where is the PEJ tube passed through?

Answer 28

Tube can be passed through either the jejunum or duodenum

Question 29

True or False: Should tubing be marked while placing the PEJ?

Answer 29

True. Tubing should be marked because it may migrate back into the stomach

Question 30

A device that is skin level, immersible in water, and can be hidden with clothing?

Answer 30

Low Profile Gastrostomy tube

Question 31

What are the advantages of tube feeding?

Answer 31

Provides nutrition when oral feeding is not possible GI integrity is preserved Intestinal and hepatic metabolism preserved fat metabolism and lipoprotein synthesis maintain insulin/glucagon maintained

Question 32

How often should you check placement for a patient on a PEJ?

Answer 32

Before each feeding Before administration of medication If continuous feeding q4-8 when not used usually q shift

Question 33

How much should you flush tubing with air?

Answer 33

10-20 ml of air

Question 34

True or False: Does Gastric pH change with feedings and medication being administered?

Answer 34

True

Question 35

When you are checking for gastric residual. What are you evaluating for?

Answer 35

Absorption of feeding

Question 36

What is considered a high gastric residual?

Answer 36

200-250ml

Question 37

How often is Enteral tube feeding given?

Answer 37

Feeding is given over the course of 24 hours

Question 38

What is the preferred position during enteral feeding?

Answer 38

Sitting upright in fowlers position at least 30 degrees, or slightly elevated right lateral side lying position

Question 39

How long should the patient sit upright in the position for? after feeding?

Answer 39

Minimum 1 hour

Question 40

When should feedings be stopped/paused?

Answer 40

Repositioning, respiratory therapy (CPT, suctioning)

Question 41

When flushing tubing with water, how often should it be flushed and what how much water?

Answer 41

Flushing should be before and after feedings with 60ml of tap or sterile water to prevent clogging

Question 42

How often should the feeding formula container be changed?

Answer 42

q 24 hours