Feeding Tube Management Guidelines

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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 (correct)
Potassium, magnesium, phosphorus
Phosphorus, magnesium, potassium
Magnesium, phosphorus, potassium

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

Hyperglycemia
Cardiac arrhythmias (correct)
Fluid overload
Hypertension

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

20 mL every hour
5 mL every 15 minutes
10 mL every hour (correct)
10 mL every 4 hours

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

Thiamine x 3 days (C) Signup and view all the answers

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

Heart rate (D) Signup and view all the answers

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

To prevent hyperphosphatemia in the setting of renal failure (D) Signup and view all the answers

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 (B) Signup and view all the answers

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

To prevent overfeeding and potential hypercapnia (B) Signup and view all the answers

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

To correct hypoglycemia by following a specific protocol (B) Signup and view all the answers

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

To optimize glycemic control and avoid hypoglycemia (C) Signup and view all the answers

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

To ease participation in therapy and enhance quality of life (D) Signup and view all the answers

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

Reduce the rate or volume of feed infusion (C) Signup and view all the answers

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

Excessive administration of fiber-feed (D) Signup and view all the answers

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

Celiac disease (D) Signup and view all the answers

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

Switch to non-fiber formulas (A) Signup and view all the answers

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

Amylase levels (C) Signup and view all the answers

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 (A) Signup and view all the answers

Electrolyte Drop Sequence

In patients at risk of low potassium, magnesium, and phosphorus with fluid retention, phosphorus levels typically drop first, followed by potassium, and then magnesium.

Electrolyte Deficiency Complication

Cardiac arrhythmias can be a serious complication of low electrolytes in patients receiving enteral feeding.

Initial Enteral Feeding

When initiating feeding for a patient at risk, start with a small volume of 10 mL of feeding every hour.

Thiamine Intake for Enteral Feeding

The recommended daily thiamine intake for patients requiring enteral feeding is three times the standard dose for three days.