TYPES/METHODS OF TUBE FEEDINGS
CONDITIONS FOR ENTERAL FEEDINGS
COMMON DIET ORDERS
PARENTERAL FEEDINGS
Misc
100
Tube that extends from nose to stomach; high risk for aspiration.
What is Nasogastric Tube.
100
Variables of Nutritional Assessment:
What is Weight loss/BMI history; food intake information; lab values; signs and symptoms of dysphagia; pressure ulcers.
100
Diet that only allows see-through liquids (i.e. gelatin, some juices, broth, tea, coffee, etc.).
What is Clear Liquid Diet.
100
Method of providing nutrition if the patient's GI tract needs to rest. This method consists of the nutrients to be administered through the veins.
What is Parenteral Nutrition (PN).
100
Giving the tube feeding spaced out through the day (i.e. 4 hours).
What is Intermittent feedings.
200
Tube is placed through an incision in the abdominal wall in the stomach; more long-term.
What is Gastrostomy Tube.
200
The initial steps to assist someone who is having trouble eating:
What is Incorporate high caloric foods; adding some fat to meals; smaller/more frequent meals; provide socializing with eating; eliminating “foods that are not good for you”.
200
Diet that is ordered when patient has no teeth; is ordered following surgery; or if patient has an ear, nose, or throat disorder.
What is Soft Diet.
200
This form of Parenteral Nutrition should be administered through more of a peripheral line. For example in the arm, Regular IV, or PICC Line
What is Peripheral Parenteral Nutrition (PPN).
200
What is the process of providing nutrition via an intravenous route that connects directly to the blood stream?
What is Parenteral Nutrition (PN).
300
Weighted tubes 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 Jejunostomy Feeding Tube.
300
Definition of dysphagia:
What is Difficulty swallowing.
300
Diet that allows any other liquid at room temperature (i.e. milk, custard, all fruit juices, ice cream, strained soups, etc.).
What is Full Liquid Diets.
300
This particular Parenteral Feeding method should be administered with a large vessel intravenous (IV). Subclavian line or Central line, which is in the neck area.
What is Total Parenteral Nutrition (TPN).
300
Name some possible complications that may occur with the use of Tube Feedings?
What is Aspiration, Pneumonia (may cause death), Diarrhea, Clogged tube, Abdominal Distention, Fluid and electrolyte imbalances.
400
Giving feedings at one time over a short period of time:
What is Bolus Feeding.
400
If patient has working GI tract, what is the process of using the GI tract to feed an appropriate formula or liquid?
What is Enteral Nutrition (EN).
400
When clear liquid diet is introduced initially and diet advances to full liquid/soft/general diet.
What is "as tolerated" or "as needed".
400
Under what conditions should Parenteral Nutrition be prescribed to the patient?
What is, severe malnutrition, anorexia, GI problems, coma, cancer, burns, sepsis, acute renal or liver failure.
400
What is the term when a patient is on an unrestricted diet?
What is a Regular or House Diet.
500
Enteral feeding in which the formula drips slowly throughout the prescribed time span.
What is Continuous feeding or continuous drip.
500
Tube feedings are better than IV feeding because:
What is Tube feedings are safer, cheaper, physiologically better, and closely mimic normal feeding conditions.
500
Diet designed to reduce frequency and volume of stools, (i.e. no nuts, no seeds, no spicy items, low fiber).
What is Low Residue Diet.
500
Name some complications for Parenteral Nutrition.
What is Infection, Pneumothorax (punctured lung), embolism (traveling blood clot), Hyperglycemia/Fluid overload,Incorrect position of the catheter, Artery puncture.
500
What is dumping syndrome?
What is, when food quickly gets “dumped into the small intestine”. This may occur with Jejunostomy feedings (J Tube Feedings). Frequently occurs with Gastric Bypass Surgery.