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Questions and Answers
What is the recommended volume of formula delivery in less than 20 minutes?
What is the recommended volume of formula delivery in less than 20 minutes?
- 750 to 1000 ml
- 500 to 750 ml
- 100 to 200 ml
- 250 to 500 ml (correct)
What is the recommended route of administration for a parenteral feeding solution with a concentration of 5000 osmoles?
What is the recommended route of administration for a parenteral feeding solution with a concentration of 5000 osmoles?
- Peripheral or central vein
- Depends on the patient's age
- Central vein only (correct)
- Peripheral vein is preferred
What is the most suitable method for administrating feeding to the intestine directly?
What is the most suitable method for administrating feeding to the intestine directly?
- Total Parental Nutrition
- Intermittent feeding
- Bolus feeding
- Continuous feeding (correct)
A patient undergoes proctocolectomy and has a high intestinal residual volume. What is the next step in management?
A patient undergoes proctocolectomy and has a high intestinal residual volume. What is the next step in management?
A 1-month-old baby post cardiac surgery requires tube feeding for a few days. What route would you recommend for him?
A 1-month-old baby post cardiac surgery requires tube feeding for a few days. What route would you recommend for him?
What type of feeding is recommended for a 6-month-old girl with severe GERD and recurrent aspiration pneumonia prior to a Nisan fundoplication procedure?
What type of feeding is recommended for a 6-month-old girl with severe GERD and recurrent aspiration pneumonia prior to a Nisan fundoplication procedure?
What is the recommended nutrition support for a 45-year-old male with impaired motility in the upper GI tract?
What is the recommended nutrition support for a 45-year-old male with impaired motility in the upper GI tract?
What is the characteristic of Intermittent feeding?
What is the characteristic of Intermittent feeding?
What is a complication associated with parenteral feeding compared to enteral feeding?
What is a complication associated with parenteral feeding compared to enteral feeding?
Which medical condition is an indication for tube feeding?
Which medical condition is an indication for tube feeding?
When is it recommended to shift to tube feeding?
When is it recommended to shift to tube feeding?
What is the primary goal of parenteral feeding?
What is the primary goal of parenteral feeding?
What is an indication of parental feeding?
What is an indication of parental feeding?
A patient has a high intestinal residual volume after proctocolectomy. What is the most likely nutritional complication?
A patient has a high intestinal residual volume after proctocolectomy. What is the most likely nutritional complication?
What is a contraindication for enteral (tube) feeding?
What is a contraindication for enteral (tube) feeding?
What is the primary advantage of continuous tube feeding?
What is the primary advantage of continuous tube feeding?
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Study Notes
Parenteral Feeding
- A parenteral feeding solution with a concentration of 5000 osmoles should be administered through the central route only.
- Parenteral feeding is associated with complications such as hepatotoxicity, increased risk of infections, and intestinal hypoplasia.
Enteral Feeding
- Enteral feeding is indicated for patients with severe swallowing disorders.
- Contraindications for enteral feeding include severe GI bleeding, high output fistula, intractable vomiting, diarrhea, severe malabsorption, and complete intestinal obstruction.
- Enteral feeding can be administered through a nasoenteral tube, nasogastric tube, or enterostomy tube.
- Continuous feeding is the best way to administer feeding directly to the intestine.
Intermittent Feeding
- Intermittent feeding involves delivering 200-450 ml of formula over 20-40 minutes.
- It is a type of enteral feeding that can be used for patients who require tube feeding.
Tube Feeding
- Tube feeding is indicated for patients with impaired motility in the upper GI tract, severe GI bleeding, high output fistula, or intractable vomiting.
- It is recommended for patients who have undergone surgery, such as a 1-month old baby post cardiac surgery.
- The route of tube feeding depends on the patient's condition, such as transnasal tube feeding for a 1-month old baby.
Nutrition Support
- Patients with impaired motility in the upper GI tract and a low BMI may require enteral tube feeding as a nutrition support.
- Parenteral nutrition is indicated for patients who are unable to tolerate enteral feeding, such as those with severe vomiting.
Miscellaneous
- A patient who has undergone proctocolectomy and has a low BMI may require parenteral feeding with continuous efforts to empty the intestine for enteral feeding.
- A 6-month old girl with severe GERD and recurrent aspiration pneumonia may require continuous tube feeding until the procedure day.
- Enteral feeding can be shifted to oral feeding when the patient is ready, such as when the fistula heals.
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