Tube Feeding Flashcards
Another word for tube:
Enteral
Enteral feeding w/ stroke if:
Dysphagia, high risk for aspiration, cannot meet nutritional needs orally, NPO for 48 hours
Enteral feeding:
Hydration and nutrient delivery into GI tract via:
NG, PEG or J-tube
Parenteral Feeding:
Nutrition by IV
(TPN - Total P. Nutrition)
(PPN - Peripheral PN)
*Nasogastric Tube Benefits
easy insertion/replacement, no anesthesia required, adequate short-term option, patient can eat orally
*Nasogastric Tube Risks
uncomfortable, sinusitis, aspiration (gastro-esophageal reflux), airway obstruction, nasal ulceration
*Gastrostomy Tube Benefits
easy removal/replacement, not visible, adequate long-term option, patient can eat orally
*Gastrostomy Tube Risks
requires surgery, bleeding, abdominal wall infection, dislodgment, reflux, diarrhea
*Jejunostomy Tube Benefits
decreased aspiration and reflux risk, not visible, adequate nutrition if stomach is unavailable
*Jejunostomy Tube Risks
requires surgery, bleeding, abdominal wall infection, dislodgment, continuous drip feeding
Principles of Introducing Oral Nutrition:
Move slowly Review meds Wean from continuous/ pump to bolus feeding - want to induce hunger) Order appropriate diet Intro one meal per day for a week Maintain gastronomy for 90 days
T/F - Tube feeding prevents aspiration
FALSE - still have to manage secretions
*When to use feeding tubes:
- prevents aspiration pneumonia
- improves survival
- improves QoL
- improves functional status
- prevents malnutrition
*PEG indicated for:
Stroke w/ dysphagia
HNC
Neuromuscular dystrophy conditions
*PEG contraindicated for:
Aspiration (does not fully prevent) Dementia Cancer w/ short life expectancy Persistant vegetative states Anorexia/Cachexia
