Enteral Feeding Flashcards
Characteristics of Nasogastric Feeding Route
Tube extends
from nose into
stomach
Advantages of Nasogastric Feeding Route
- Easy
placement/easy
to remove - No surgery
necessary - Less expensive
- Medications
can be
administered
Disdvantages of Nasogastric Feeding Route
Greater risk of
aspiration
(compared
with
nasointestinal
feeding)
Gastric
emptying
must be
monitored
Characteristics of Nasoduodenal:
Tube
extends from nose
through pylorus into
duodenum; tube
must be advanced by
peristalsis or
videofluoroscopy
Characteristics of Nasojejunal
: Tube
extends from nose
through pylorus into
jejunum and is
usually placed by
videofluoroscopy or
endoscopy
Advantages of Nasoduoden
al or
nasojejunal
Lessened risk
of aspiration
(compared with
nasagastric
feedings)
Helpful in
patients with
gastroparesis
Disadvantages of Nasoduoden
al or
nasojejunal
- Requires
placement via
endoscopy - Unable to
monitor gastric
motility
Charactertis of Gastronomy
Tube placed
through incision in
abdominal wall
into stomach
Charactertis of PEG
Tube
percutaneously
placed in stomach
under endoscopic
guidance, secured
by rubber
“bumpers” or
inflated balloon
catheter
Advantages of Gastrostomy
or
Percutaneous
Endocopic
Gastrostomy
(PEG)
Intermediate/
bolus feedings
possible
Patient comfort
Size of tube
allows
medication
administration
and/or gastric
decompression
Disadvantages of Gastrostomy
or
Percutaneous
Endocopic
Gastrostomy
(PEG)
Increased risk
of aspiration in
some
individuals
Stoma care
required
Potential for
dislodgment of
tube
Types
include needle
catheter placement,
direct tube
placement, and
creation of jejunal
stoma that is
catheterized
intermittently
Jejunostomy
Weighted
feeding tube (from
PEG insertion into
duodenum;
peristaltic action
advances tube into
jejunum
Percutaneous
Endoscopic
Jejunostomy
(PEJ)
Advantages of Jejunostomy
or
Percutaneous
Endoscopic
Jejunostomy
(PEJ)
Early
postoperative
feeding
possible
Dcreased
aspiration risk
Disadvantages of Early
postoperative
feeding
possible
Dcreased
aspiration risk
Smaller tube
used, tube may
clog easily
Stoma care
required
Intraperitoneal
leakage
possible
Volvulus
possible
