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05 Enteral Nutrition
05 Enteral Nutrition
05 Enteral Nutrition
INTRODUCTION
Alternative feeding methods that ensure adequate nutrition
include enteral (through the GI system) methods.
NASOENTERIC TUBE
Also called nasointestinal tube
A longer tube than the nasogastric tube (at least 40
cm for an adult).
Inserted through one nostril down into the upper
small intestine.
Some agencies require specially trained nurses or
primary care providers to perform this procedure.
NASOGASTRIC TUBE
Inserted through one of the nostrils, down the
nasopharynx and into the alimentary tract.
(a) Large-Bore NGT
Traditional, firm
Larger than 12 Fr in diameter
Levin tube – a flexible rubber or plastic, single-lumen
tube with holes near the tip.
Salem sump tube – double lumen
Feeding clients who have adequate gastric emptying; (III) CONFIRM LENGTH OF TUBE INSERTION WITH
THE INSERTION MARK
Clients who require short-term feeding.
Nursing Considerations
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REFEEDING SYNDROME
A rare but potentially fatal complication of tube feeding.
A combination of fluid and electrolyte shifts that can
occur after a lengthy period of malnutrition or
starvation. When the starving body converts from
creating glucose from carbohydrates to creating it from
protein stores since carbohydrate was unavailable.
The body’s reaction to the sudden presence of glucose
and synthesis of protein leads to the shifts.
Risk factors: chronic alcoholism, anorexia nervosa,
massive weight loss, cancer clients receiving
chemotherapy, or anyone who has gone 7 to 10 days
without food.
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