Flashcards in Enternal & Parental Feeding Deck (18)
Specific amount for Enternal Bolus feeding example
250 ml q 6 hrs
How do you introduce a feeding
start feeding at 1/4 strength and gradually increase concentration as tolerated to full strength. volume may be increased to obtain caloric requiremets
If you need to put the head of bed down for longer than 30 mins when should you stop tube feeding?
20-30 minutes prior
occurs after starvation & feeding is resumed, causes a sudden shift from fat to CHO metabolism & a secretion of insulin. leads to cellular uptake of K+, phosphate, & mg
what IV solutions should you use to prevent malnutrition when pt is NPO?
D5 with NS
What can cause ketoacidosis
large amts of glucose, diuresis, dehydration
controls oxygen binding to hemoglobin, helps regulate buffering system
Pottasium depletes with what and increases with what
depletes with starvation, increases with insulin
needed for ATP production, DNA, RNA structure, linked with potassium-neuromuscular /cardiac dysfunction
What is thymine needed for?
vitamin deficiencies s/s
ataxia, confusional state, hypothermia
rapid intake of CHO leads to what?
rapid excretion of sodium and water
If tube becomes clogged, what do you do
use 60ml sringe & attempt to aspirate, pancreatic enzymes (if ordered) & baking soda mixed with water, sterile or purified water
Parental nutrition is given by which access
PICC or central lines
How long can you have NG tube in for?
what is special about TPN
only can hang for 24 hrs then you need to get a new bag, new tubing every time, filter, & strict asepsis
how often should you be monitoring glucose levels when on TPN
q 6 hrs