Chapter 36 Gastrointestinal Intubation and Special Nutritional Notes

Chapter 36 Gastrointestinal Intubation and Special Nutritional Notes

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Chapter 36 Gastrointestinal Intubation and Special Nutritional Modalities Purposes of Gastrointestinal Intubation Decompress the stomach Lavage the stomach Diagnose GI disorders Administer medications / feeding Treat obstruction To compress a bleeding site To aspirate gastric contents Types of Tubes Gastric tubes Levin – single lumen Sump – Salem – radiopaque, 2 lumen Enteric tubes Parenteral Nutrition Provide nutrients via IV Proteins, carbohydrates, fats, electrolytes, vitamins, trace minerals, sterile water Goals better nutrition, won’t lose weight Indications for Parenteral Nutrition Poor intake Bowels not working right Patient not willing to ingest food Can’t use tube feeding Prolonged pre/ post op nutritional needs Purposes/ Advantages of Enteral Feedings
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Unformatted text preview: • Meet nutritional requirements and working GI tract • Advantages: – Safe and cost-effective – Preserve GI integrity – Preserve normal intestinal and hepatic metabolism – Maintain fat metabolism and lipoprotein synthesis – Maintain normal insulin and glucagon ratios Tube Feeding Administration Methods • Tubes – Nasogastric or nasoenteral tubes – Gastrostomy or jejunostomy tubes • Methods – Intermittent bolus feedings – Intermittent gravity drip – Continuous infusion – Cyclic feeding Reducing Complications • Measure residual, more than 200 mL • Water • Don’t mix feedings and meds • Don’t hang feeding for longer than 4 hours • Diarrhea • Prevent dumping syndrome • Not cold • HOB up to at least 30 degrees...
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  • Fall '13
  • Cannon
  • Nutrition, Gastrointestinal Intubation, parenteral nutrition, Intermittent bolus feedings, Diagnose GI disorders, Special Nutritional Modalities

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