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7 Cards in this Set
- Front
- Back
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EN |
Nutrition providedthrough the gastrointestinal (GI) tract via tube, catheter, or stomach thatdelivers nutrients distal to the oral cavity. |
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PN |
Administrationof nutrients and fluids intravenously, centrally (delivered into alarge-diameter vein, usually the superior vena cava adjacent to the rightatrium) or peripherally (delivered into a peripheral vein, usually of the handor forearm). |
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EN Indications |
"If GI works use it" Oral intake isimpossible Oral intake isinadequate Oral intake isunsafe |
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EN contradictions |
small bowel obstructions vomiting/diarrhea severe short bowel (literally length) GI paralysis (ileus) GI acid leaking in other areas of the body (uDistalhigh-output fistulas) GI bleed GI malabsorption Needs greater than 5-7 days for malnourished Needs greater than 7-9 days if normal Hemodynamicinstability (blood pressure) |
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Hemodynamic stability |
forces whichcirculate blood through the body, adequate bloodcirculation (blood flow) is a necessary condition for adequate supply of oxygento all tissues BP Heart rate Urine output Arterial Pressure Tissue oxygenation |
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When to start enteral nutrition? |
Medically stable: patient hasnt been adequate for 7-14 days or expected to be so Critically ill: 24-28 hrs after surgery or critical injury |
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EN: Nasogastric tube where? indications? advantages/disadvantages |
Where? nasal passage into the stomach Indications? short term feedings required Intact gag reflx GI function not compromised Low risk for asipiration Advantages: Easy to place no surgery easy to check residuals Disadvantages: Increased aspiration GI not intact? cant do it may promote necrosis and esophagitis |
