What is enteral nutrition?
nutrition goes directly into the stomach via some devise PEG tube or NGT.
Where is the PEG located?
connected directly into the stomach, placed for feedings that last longer then two weeks.
Where is the NGT to located?
down through the nose, through back of throat into stomach. used for less then two weeks
Why is enteral nutrition used?
it is used for total feeding as supplementation for poor oral intake
What are advantages of enteral nutrition?
fewer serious complications, supplies gut-perferred fuels(glutamine, glutamate, short-chain fatty acids.
How should the bed be placed when a patient is on continuous enteral feeding?
they should be placed at 45degrees to prevent aspiration. if you need to lay then flat you need to stop the feeding and wait 30-60mins to lay them flat.
What are disadvantages of enteral nutrition?
dumping syndrome, discomfort of tubes, can disrupt f/e imbalance if appropriate formula is not chosen, fluid overload, aspiration, loose oral gratification.
What is important nursing care for Enteral nutrition?
ensure feeding tube is in place, assess nutritional status, monitor I&O, assess for signs/symptoms, check for residuals, assess bowel sounds and patients toleration of feeding,
What is the goal of enteral nutrition?
patient will have adequate nutrition in order to meet the demands of the body
What is Parenteral nutrition?
nutritional feeding through the vein
What are the two different types of parenteral nutrition?
peripheral of total
Where does peripheral go?
is given via an IV in the arm
where does total go?
central line going into the right atrium of the heart
Which kind of parenteral nutrition can administer higher levels of glucose?
What is peripheral parenteral nutrition used for?
prescribed for patients who need modest amount of nutritional support, normally are not in a hypermetabolic state,it is temporary, contains 5-10% dextrose no greater, can mix electrolytes in the solution and also administer lipids.
What is total parenteral nutrition good for?
solutions that contain hypertonic glucose and amino acids, composed of dextrose, crystalline amino acids and lipid emulsions in addition to vitamins, mineral, trace element, electrolytes, water, and lipids, can add medications, used for patients with non-functioning GI tracts and those who are NPO for >7days,
List nursing care for PPN/TPN?
assess nutritional status, assess lab values especially lytes, asses IV site or CVP site, monitor vital signs, daily weights and I&O, assess for signs and symptoms of infection, monitor blood glucose levels, assess for complications of central line placement, consult with dietician and pharmacist, must be weaned off before discontinuing,
What has more complication enteral or parenteral nutrition?