Clinical Chemistry > LECTURE SLIDES/NOTES > Hyperalimentation Detailed notes. (All)
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 adequa... te 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? [Show More]
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