Hydration
6 days without water
How long can an adult of normal weight live without water?
More than half the body weight is water
How much water is an adult?
Dumping Syndrome- Food quickly gets “dumped into the small intestine”. Can occur with Jejunostomy feedings (J Tube). Frequently occurs with Gastric Bypass Surgery
What is dumping syndrome?
Clear, you can see through them, think of reading a magazine behind drink
what is the clear liquid diet?
Unable to swallow or orally consume nutrients
What is tube feeding for?
After oxygen, water is the body's most vital need
What is the second most vital need in the body?
70% water
What percatage of water is the adult muscle tissues?
Bolus feeding- Giving the feeding at one time over a short period of time
What is bolus feeding?
any other liquid at room temperature
What is the Full liquids diet?
Gastrostomy Tube- Tube is placed through an incision in the abdominal wall into the stomach, more long term
The human body requires 1.5 liters of water for every kcal of energy used
How many liters of water is used for a kcal of engery used?
30% water
What percentage of water is the fat tissues?
Intermittent- Giving the tube feeding spaced
out through the day, ie for 4 hours
What is intermittent feeding?
soft foods, no nuts, no seeds
What is the Soft diet?
Nasogastric Tubes- Tube extends from the nose to the stomach, high risk for aspiration
What is the nasogastic tubes?
120 ml of fluids
How much is 4 ounces of fluid into ml of fluid?
Bone tissue
What part of the body is 10% water?
Aspiration- can be deadly, always check the placement of the tube before putting anything down the tube
No nuts, no seeds, no spicy items
What is the low reidue diet
Tube feedings are safer, cheaper and physiologically better then IV feeding they closely mimic normal feeding conditions: therefore the stomach continues to work
Tube feeding Vs IV feeding
1 ounce of fluid equals about 30 ml of fluid. We record their intake in ml
1 ounce of fluid equals how many ml of fluid
The largest single component within the body
What is water?
Monitoring tube feedings at least every 4 hours, Number one way to check placement (most accurate way) chest Xray to see the placement of the tube.
Best way to check placement of tube?
Apple juice, water, ginger ale, jello, and popsicles
List 5 clear liquids
Jejunostomy Feeding Tube- Weighted tube
passed endoscopically through the G Tube into
the duodenum and peristaltic action advances
the tube into the jejunum. Little risk of
aspiration, dumping syndrome may occur.
What is the jejunostomy feeding tube?