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10 Cards in this Set
- Front
- Back
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Enteral vs. Parenteral
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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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Indications for Enteral nutrition
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Functional GI tract
Unable to take adequate nutrition orally |
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Contraindications
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Total bowel obstruction
Enteric fistula >90% small bowel resection Mesenteric ischemia (lack of blood and O2 flow) Patient refusal |
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Advantage of Enteral over Parenteral
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Immunologic- decreased infection
Physiologic- reduced GI atrophy Biochemical- use of nutrients is better Cost- lower Safety- much safer |
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Transnasal Placement
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The fastest and can be fed right away.
very short term |
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Enterostomy Placement
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• Creation of stoma (opening)
• Location depends on pt condition • Long term feeding • Cosmetic advantage • Wider diameter feeding tube |
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Percutaneous Endoscopic Gastrostomy
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• General anesthesia unnecessary
• Less costly • Less procedure-related morbidity • Earlier feeding |
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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
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• Indications
• High risk of aspiration • Major abdominal surgery • Esophageal, gastric, pancreatic or hepatobiliary complications • Can be used early after surgery • May require elemental formula |
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Needle Catheter Jejunostomy (NCJ)
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• Implanted during surgery
• No stoma needed • Used within 4 hrs post-op • Temporary; easy to remove |
