Mastering Enteral Nutrition Tube Feeding Routes

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Which type of enteral formula is prepared by using a food blender to blend whole foods?

Blenderized formulas

Which type of enteral formula contains macronutrients that have been broken down and require less digestion?

Elemental formulas

Which type of enteral formula includes nutrient combinations that assist in the treatment of certain illnesses?

Specialized formulas

Which type of enteral formula can be prepared by combining individual macronutrient and micronutrient preparations?

Modular formulas

What is the main characteristic of MCT (medium-chain triglycerides)?

They contain fatty acids with 6-12 carbons

Which patients are blenderized formulas suitable for?

Patients with compromised digestive or absorptive function

Which patients are elemental formulas suitable for?

Patients with compromised digestive or absorptive function

Which patients are specialized formulas suitable for?

Patients who require specific nutrient combinations

Which patients are modular formulas suitable for?

Patients who require specific nutrient combinations

What is the main characteristic of MCT (medium-chain triglycerides) in enteral formulas?

They contain fatty acids with 6-12 carbons

Which of the following is a reason why gastric feedings are preferred over intestinal feedings?

All of the above

What is the purpose of an enterostomy?

To facilitate tube feeding for patients expected to be tube fed for 4 weeks

What is the risk associated with gastric feedings?

All of the above

What is aspiration?

When food, liquid, or other material enters a person's airway and eventually the lungs by accident

What are feeding tubes made from?

Flexible materials

What is the unit of measurement for the outer diameter of feeding tubes?

French units

What do standard formulas (polymeric formulas) contain?

Intact proteins and polysaccharides

What is the purpose of enteral formulas?

To supply all of an individual’s nutrient requirements

What are the two types of enteral nutrition tube feeding routes mentioned in the text?

Gastrostomy and jejunostomy

What determines the choice of enteral feeding route?

All of the above

Which macronutrient should be higher in patients with metabolic stress?

Protein

What is the recommended energy density of enteral formulas before or after some intestinal examinations and surgeries?

1.0-2.0 Kcal/mL

What is the osmolality range of hypertonic formulas?

300-700 milliosmoles/Kg

Which factor should be considered when selecting an enteral formula?

GI function

Which patients may require an elemental formula?

Patients with impaired GI tract

What is the purpose of fiber modifications in enteral formulas?

Managing diarrhea, constipation, and hyperglycemia

What is the main risk associated with infusing medications along with enteral feedings?

Diarrhea

What should enteral formulas provide if fluid needs to be restricted?

Adequate nutrient & energy densities

What should be checked for patients with food allergies when selecting an enteral formula?

Ingredient lists

What should be considered when evaluating the patient's response to an enteral formula?

Reevaluating the decision

What is the purpose of the Hazard Analysis and Critical Control Points (HACCP) systems mentioned in the text?

To prevent formula contamination

Which type of feeding system has a higher chance of contamination?

Open feeding system

What is the main benefit of using a closed feeding system?

Lower chance of contamination

Which patients are at a higher risk of infection from foodborne illness?

Malnourished individuals

What is the purpose of fiber in enteral nutrition?

Treating diarrhea or constipation

Which type of formula is appropriate for patients with high nutrient needs or fluid restrictions?

High energy density formula

What is the recommended formula for individuals with high fluid requirements?

Formula with low energy density

What is the main purpose of tube-feeding complications?

To monitor and identify complications

What is the recommended method for handling formula to prevent contamination?

Closed feeding system

What is the main characteristic of specialized formulas?

They assist in the treatment of certain illnesses

Which pH level indicates that a feeding tube is placed in the stomach?

pH ≤5

Which delivery method allows the patient freedom of movement between meals?

Intermittent

Which delivery method is best tolerated when delivered into the stomach?

Intermittent

Which delivery method is rapidly administered and does not require an infusion pump?

Bolus

Which delivery method is preferred for intestinal feedings?

Continuous

Which delivery method is slower and easier to tolerate, making it recommended for critically ill patients or patients who cannot tolerate intermittent feedings?

Continuous

Which delivery method has a higher risk of aspiration and may be difficult for some patients to tolerate?

Intermittent

Which delivery method can cause abdominal discomfort, nausea, and a greater risk of aspiration?

Bolus

Which delivery method is used only in patients who are not critically ill?

Bolus

Which delivery method allows the patient to have greater independence?

Bolus

Which method of tube feeding delivery is best tolerated when delivered into the stomach?

Intermittent

Which delivery method of tube feeding is rapidly administered, does not require an infusion pump, and allows greater independence for patients?

Bolus

Which delivery method of tube feeding has a higher risk of aspiration and may be difficult for some patients to tolerate?

Bolus

Which delivery method of tube feeding is used only in patients who are not critically ill?

Bolus

Which delivery method of tube feeding is preferred for intestinal feedings?

Continuous

Which delivery method of tube feeding is slower and easier to tolerate, making it recommended for critically ill patients or patients who cannot tolerate intermittent feedings?

Continuous

What is the pH range for tube placement in the stomach?

pH ≤5

What is the pH range for tube placement in the small intestine or respiratory tract?

pH ≥6

What is the recommended angle of elevation for the patient's upper body during and after tube feeding to reduce the risk of aspiration?

30-45 degrees

What is the recommended delivery time for intermittent tube feeding?

30-45 minutes

Test your knowledge on enteral nutrition tube feeding routes and learn about the different options available based on medical condition, duration of feeding, and potential complications. Explore topics such as transnasal feeding, gastrostomy, and more.

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