Class 10 Enteral Nutrition part 1 2011

Class 10 Enteral Nutrition part 1 2011 - Percutaneous...

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HUN4445 Enteral Nutrition 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 Enteral: within or by way of the intestine Parenteral: Any route other than the GI tract, e.g. intravenous, subcutaneous, intramuscular, mucosal Indications for Tube-Feeding Functional GI tract Unable to take adequate nutrition orally Contraindications Total bowel obstruction Enteric fistula >90% small bowel resection Mesenteric ischemia Patient refusal Advantage of Enteral over Parenteral Immunologic Physiologic Biochemical Cost Safety Enterstomy Placement Creation of stoma (opening) Location depends on pt condition Long term feeding Cosmetic advantage Wider diameter feeding tube
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Unformatted text preview: Percutaneous Endoscopic Gastrostomy • General anesthesia unnecessary • Less costly • Less procedure-related morbidity • Earlier feeding Surgical Gastrostomy (G-tube) • Requires general anaesthesia • If PEG precluded • If placed during surgery for decompression Jejunostomy Tube • Indications • High risk of aspiration • Major abdominal surgery • Esophageal, gastric, pancreatic or hepatobiliary complications • Can be used early after surgery • May require elemental formula Needle Catheter Jejunostomy (NCJ) • Implanted during surgery • No stoma needed • Used within 4 hrs post-op • Temporary; easy to remove Selecting Tube Feeding Formula Patient issues • Medical condition • Nutrient needs • Gastric emptying • Digestive and absorptive capacity • Metabolic abnormalities Formula issues • Physical properties • Ingredients/Nutrient content...
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Class 10 Enteral Nutrition part 1 2011 - Percutaneous...

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