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10 Cards in this Set
- Front
- Back
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Definition of enteral nutrition
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within or by way of the intestine/ tube feeding
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indications for enteral nutrition
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functional GI tract
unable to take adequate nutrition orally |
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contraindication of enteral nutrition
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total bowel obstruction
enteric fistula >90% of small bowel resection mesenteric ischemia patient refusal |
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advantages of enteral over parenteral
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overall it's safer
decreases infection (immunologic) reduces gastrointestinal atrophy (physiologic) biochemical (use of nutrients) low cost |
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Transnasal placement
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better for babies, but not for long term because nose tissue will break down
don't use nasal tube for more than two weeks |
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enterstomy placement
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creation of stoma (opening)
location depends on patient condition long term feeding cosmetic advantage wider diameter feeding tube form of thick liquid: important to flush w water to make sure all meds moved in there develops permanent scarring consumed by infants or those who can't consume by mouth |
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percutaneous endoscopic gastrostomy [PEG tube]
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general anesthesia unnecessary
less costly easy for skinny people less procedure related morbidity earlier feeding 2-3 + weeks |
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surgical gastrostomy [G tube]
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requires general anaesthesia
if peg is not possible if placed during surgery for decompression |
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jejunostomy tube implications
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high risk for aspiration, major abdominal surgery,
esophageal, gastric, pancreatic or hepatobiliary complications can be used early after surgery may require elemental formula but DON'T have to break all the way down into amino acids because it can absorb peptides and dipeptides |
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needle catheter jejunostomy
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implanted during surgery
no stoma needed used within 4 hours post op temporary, easy to remove |
