Feeding Tube Management Guidelines

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17 Questions

What is the usual sequence in which electrolytes drop in patients at risk of low K, Mg, and Phos with fluid retention?

Phosphorus, potassium, magnesium

What is a potential severe complication associated with low electrolytes in patients requiring enteral feeding?

Cardiac arrhythmias

When initiating feeding for a patient at risk, how should the nutrition start?

10 mL every hour

What is the recommended daily thiamine intake for patients requiring enteral feeding?

Thiamine x 3 days

When selecting an enteral feeding regimen for a patient, what should be monitored besides blood work and fluid balance?

Heart rate

Why might a phosphate binder be necessary for a patient receiving nutrition support?

To prevent hyperphosphatemia in the setting of renal failure

What is a primary consideration when developing a transitional feeding plan from various modes of nutrition support to an oral diet?

Providing a sense of time and normalcy to the patient

In the context of respiratory dysfunction, why should excess carbohydrate intake be avoided?

To prevent overfeeding and potential hypercapnia

Why might adjusting carbohydrate intake be necessary in the context of refeeding syndrome?

To correct hypoglycemia by following a specific protocol

What is the purpose of progressing to bolus feeding in the context of nutritional support?

To optimize glycemic control and avoid hypoglycemia

Why is it important to liberalize patients from enteral pumps during nutrition support?

To ease participation in therapy and enhance quality of life

What should be done if a patient experiences nausea and vomiting while on enteral feeding?

Reduce the rate or volume of feed infusion

What is a potential cause of abdominal distension in a patient on enteral feeding?

Excessive administration of fiber-feed

Which condition might lead to unexplained weight loss, steatorrhea, and diarrhea in a patient on enteral feeding?

Celiac disease

What is a suitable course of action if a patient exhibits signs of constipation while on enteral feeding?

Switch to non-fiber formulas

Which of the following blood work tests should be considered for monitoring a patient receiving enteral nutrition?

Amylase levels

In what scenario would a trial with semi-elemental feed followed by an elemental feed be considered for a patient on enteral nutrition?

If malabsorption is suspected with unexplained weight loss

Learn about the guidelines for managing feeding tubes, including starting at a slow rate, increasing incrementally, use of motility agents, considerations for bacterial contamination, and tube patency maintenance.

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