What is nutrition support?
An alternate means of providing nutrients to people who cannot eat
any or enough food
When is it needed?
Illness resulting in inability to take in adequate nutrients by
mouth
...
What is nutrition support?
An alternate means of providing nutrients to people who cannot eat
any or enough food
When is it needed?
Illness resulting in inability to take in adequate nutrients by
mouth
Illness or surgery that results in malfunctioning gastrointestinal tract
Two types:
Enteral nutrition
Parenteral nutrition
Indications for Enteral Nutrition
Malnourished patient expected to be unable to eat adequately for > 5-7 days
Adequately nourished patient expected to be unable to eat > 7-9 days
Adaptive phase of short bowel syndrome
Following severe trauma or burns
Contraindications to Enteral Nutrition Support
Malnourished patient expected to eat within 5-7 days
Severe acute pancreatitis
High output enteric fistula distal to feeding tube
Inability to gain access
Intractable vomiting or diarrhea
Aggressive therapy not warranted
Expected need less than 5-7 days if malnourished or 7-9 days if normally nourished
Enteral Access Devices
Nasogastric
Nasoenteric
Gastrostomy
PEG (percutaneous endoscopic gastrostomy)
Surgical or open gastrostomy
Jejunostomy
PEJ (percutaneous endoscopic jejunostomy)
Surgical or open jejunostomy
Transgastric Jejunostomy
PEG-J (percutaneous endoscopic gastro-jejunostomy)
Surgical or open gastro-jejunostomy
Feeding Tube Selection
Can the patient be fed into the stomach, or is small bowel access required?
How long will the patient need tube feedings?
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