35 Questions
Which type of nutrition involves administering all nutrition needs through liquids made up of amino acids, glucose, and lipid components through a centrally placed catheter?
Total parenteral nutrition
What is a common problem associated with catheter placement for parenteral nutrition?
Phlebitis
How should all forms of feeding be presented?
Slowly
What is the equation to calculate a patient's resting energy requirement (RER)?
RER = 30 x (body weight + 70)
What is the maximum amount of food that can be fit into a patient at any one time?
10ml/kg/feed
Which type of feeding tube is well tolerated and quite cheap, but can only be used for a short period of time (3-5 days)?
Naso-oesophageal tube
Which feeding tube option requires a surgical procedure and general anesthesia for placement, but can be used for a longer period of time (3-4 weeks)?
Oesophagostomy tube
Which feeding tube option is suitable for long-term use (months or potentially longer) and can be used for home care?
PEG tube
What is a common problem associated with nasoesophageal feeding tubes?
Blockages
What should be done to avoid common problems with feeding tubes?
Flush the tubes with plain water before and after use
Which of the following is a recommended practice to prevent infection when caring for a feeding tube surgical site?
Regularly change the dressing around the site
What could chewing or pawing of a feeding tube indicate in a patient?
Pain or discomfort
Which of the following can cause aspiration pneumonia?
Coughing, sneezing, vomiting, or movement
What can happen with cephalic catheters during parenteral feeding?
Reactions can occur
What is the purpose of a buster collar or restraint around the neck?
To prevent chewing or pawing
Which of the following is a cause of aspiration pneumonia that has developed from a feeding tube?
Coughing, sneezing, vomiting, or movement
What is the purpose of regularly changing the dressing around the surgical site?
To prevent infection
When is parenteral feeding considered common in first opinion practice?
It is not very common in first opinion practice
Which method of feeding involves the use of a tube to feed a diet because the mouth area is no longer working but the GI system is functioning as it should?
Enteral feeding
What is the purpose of assisted feeding?
To provide additional nutrients to meet the animal's daily requirement
What are some indicators for nutritional paraenteral feeding?
All of the above
What is the main difference between enteral and parenteral feeding?
Enteral feeding uses the gastrointestinal tract, while parenteral feeding bypasses the GI system entirely
What is refeeding syndrome?
A sudden drop in sodium, potassium, and magnesium levels due to a sudden increase in carbohydrate levels in the food and insulin levels
What are the recommended components of a supportive diet?
Additional B vitamins, high protein, moderate fat, and low carbohydrate
Why should the GI tract be used whenever possible for feeding?
All of the above
What is the purpose of TPN and PPN?
To provide additional nutrients to meet the animal's daily requirement
What is the difference between enteral and parenteral feeding?
Enteral feeding uses the gastrointestinal tract, while parenteral feeding bypasses the GI system and is administered intravenously
Why is the GI tract preferred for feeding whenever possible?
The GI tract supports the function of enterocytes and gut flora, and using it reduces complications
What are some potential causes of aspiration pneumonia in patients with feeding tubes?
Flushing; Coughing/sneezing/vomiting/movement; Chewing/biting and pawing; Poor care of the surgical site; Movement, infection
What is the purpose of regularly changing the dressing around the surgical site of a feeding tube?
To prevent infection
When is parenteral feeding considered common in first opinion practice?
Not very common in first opinion practice
What is the difference between nasoesophageal and nasogastric feeding tubes?
Nasoesophageal feeding tubes typically bypass the stomach and enter the esophagus directly, while nasogastric feeding tubes enter the stomach
What are some potential problems associated with feeding tubes and how can they be avoided?
Some potential problems with feeding tubes include blockages, dislodging of the tube, trauma, infection, and over-granulation. To avoid these problems, it is important to thoroughly flush the tubes before and after use, use the appropriate amount of flush solution, and ensure that the food is not stuck in the tube after feeding.
What factors should be considered when choosing a feeding tube option?
Factors to consider when choosing a feeding tube option include the time frame for use, toleration by the patient, cost, and whether home care is possible for the owner.
What is the equation to calculate a patient's resting energy requirement (RER)?
RER = 30 \times (body weight (kg) + 70)
Test your knowledge on supportive feeding methods such as enteral and parenteral feeding. Learn about the use of tubes to deliver nutrition when the mouth is no longer functional and how laboratory-based diets can be administered intravenously. Explore the importance of consistent consideration for supportive feeding.
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