10 - Enteral Nutrition - WJD 2011 part 1

10 - Enteral Nutrition - WJD 2011 part 1 -...

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Enteral Nutrition HUN4445
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Objectives Discuss indications and contraindications for tube feeding Describe the routes for administering tube feedings and their advantages and disadvantages Discuss complications of tube feeding Perform basic tube feeding calculations
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What is Enteral Nutrition Enteral: within or by way of the intestine (tube feeding) Parenteral: Any route other than the GI tract, e.g. intravenous, subcutaneous, intramuscular, mucosal
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Case Study: LM LM has been diagnosed with esophageal cancer. He has lost 32 lbs. over the past 6 months from his usual weight of 175. His height is 5’10”. He is going to receive radiation therapy to shrink the tumor and then will have it surgically removed. How would you recommend that this patient be maintained nutritionally?
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Indications for Enteral Nutrition Functional GI tract Unable to take adequate nutrition orally What are some reasons why a patient is unable to take adequate nutrition orally?
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Unformatted text preview: Contraindications (when not to use) • Total bowel obstruction • Enteric fistula • >90% small bowel resection • Mesenteric ischemia (↓ blood flow) • Patient refusal Advantages of Enteral Nutrition vs Parenteral Nutrition • Immunologic - ↓ infection • Physiologic – reduced gastrointestinal atrophy • Biochemical – use of nutrients • Lower cost • Safer Transnasal Placement Nasogastric Tube Insertion • http://www.youtube.com/watch?v=en5ctZInOyA Gastrostomy Placement • Creation of stoma (opening) – Location depends on pt condition • Long term feeding • Cosmetic advantage • Wider diameter feeding tube http://www.youtube.com/watch?v=iGMqtcBvN8Q Percutaneous Endoscopic Gastrostomy (PEG) • Advantages – General anesthesia unnecessary – Less costly – Less procedure-related morbidity – Earlier feeding PEG Insertion PEG video http://www.youtube.com/watch?v=5Hz-3rj5G0Y...
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This note was uploaded on 12/09/2011 for the course HUN 4445 taught by Professor Sitren during the Spring '08 term at University of Florida.

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10 - Enteral Nutrition - WJD 2011 part 1 -...

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