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Questions and Answers
What is the recommended volume of formula delivery in less than 20 minutes?
What is the recommended route of administration for a parenteral feeding solution with a concentration of 5000 osmoles?
What is the most suitable method for administrating feeding to the intestine directly?
A patient undergoes proctocolectomy and has a high intestinal residual volume. What is the next step in management?
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A 1-month-old baby post cardiac surgery requires tube feeding for a few days. What route would you recommend for him?
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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?
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What is the recommended nutrition support for a 45-year-old male with impaired motility in the upper GI tract?
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What is the characteristic of Intermittent feeding?
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What is a complication associated with parenteral feeding compared to enteral feeding?
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Which medical condition is an indication for tube feeding?
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When is it recommended to shift to tube feeding?
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What is the primary goal of parenteral feeding?
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What is an indication of parental feeding?
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A patient has a high intestinal residual volume after proctocolectomy. What is the most likely nutritional complication?
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What is a contraindication for enteral (tube) feeding?
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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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Description
Questions on parenteral feeding route and abdominal trauma management. Includes cases of proctocolectomy and intestinal residual volume.
