enteral nutrition
TRANSCRIPT
![Page 1: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/1.jpg)
ENTERAL ENTERAL NUTRITIONNUTRITION
MAHENDRA JANGIRMAHENDRA JANGIR
![Page 2: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/2.jpg)
DEFINATION & GOALDEFINATION & GOAL
• ENTERAL NUTRITION IS DEFINED AS NUTRITION PROVIDED THROUGH A TUBE DIRECTLY TO GI TRACT.
• THE GOAL OF NUTRITION INTERVENTION IS TO SUPPLY ADEQUATE NUTRIENTS TO MEET THE PATIENT’S NUTRITIONAL NEEDS BY THE MOST PHYSOLOGIC,SAFEST AND COST-EFFECTIVE ROUTE.
![Page 3: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/3.jpg)
INDICATION FOR ENINDICATION FOR EN
• POOR NUTRIENT RETENTION
• PROLONGED NPO STATUS
• INSUFFICIENT INTAKE
![Page 4: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/4.jpg)
INDICATION FOR ENINDICATION FOR EN
GASTROINTESTINAL DISEASES -SHORT BOWEL SYNDROME -INFLAMMATORY BOWEL
DISEASES -INTRACTABLE DIRRHOEA OF INFANCY -EXTRAHEPATIC BILIARY ATRESIA -INTESTINAL PSEUDO-OBSTRUCTION -CHRONIC LIVER DISEASE -GLYCOGEN LIVER DISEASE
![Page 5: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/5.jpg)
INDICATION FOR ENINDICATION FOR EN
NEUROLOGICAL
-STATIC ENCEPHALOPATHY
-DYSPHAGIA
-CNS TUMOR
CARDIORESPIRATORY -CYSTIC FIBROSIS
-BRONCHOPULMONARY DYSPLASIA
-CONGENITAL HEART DISEASE
![Page 6: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/6.jpg)
INDICATION FOR ENINDICATION FOR EN
MALIGNANCY -POOR
INTAKE:RADIATION/CHEMOTHERAPY -TERMINAL SUPPORTHYPERMETABOLIC STATES -BURNS -TRAUMA / HEAD INJURYOTHER -ANOREXIA NERVOSA -CHRONIC RENAL DISEASE
![Page 7: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/7.jpg)
CONTRAINDICATION FOR ENCONTRAINDICATION FOR EN
PERITONITISOBSTRUCTIONILEUSVOMITINGENTERIC FISTULAPANCEATITIS
![Page 8: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/8.jpg)
ROUTES OF EN ROUTES OF EN ADMINISTRATIONADMINISTRATION
NASOENTERAL -NASOGASTRIC
-NASODUODENAL
-NASOJEJUNAL
![Page 9: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/9.jpg)
ROUTES OF EN ROUTES OF EN ADMINISTRATIONADMINISTRATION
TUBE ENTEROSTOMY
-GASTROSTOMY
-JEJUNOSTOMY
![Page 10: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/10.jpg)
TRANSPYLORIC ENTRANSPYLORIC EN
INDICATIONS
-GASTROESOPHAGEAL REFLUX
-ALTERED MENTAL STATUS
-INTRACTABLE EMESIS
-DELAYED GASTRIC EMPTYING
-ABNORMAL SWALLOWING
![Page 11: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/11.jpg)
INITIATION OF ENINITIATION OF EN
APROACHES
-BOLUS Vs CONTINOUS FEEDS
-FULL FEEDS Vs GRADED REGIMENS
![Page 12: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/12.jpg)
ASSESSMENT OF CLINICAL ASSESSMENT OF CLINICAL RESPONSERESPONSE
ANTHROPOMETRIC MEASUREMENTS
FEEDING TELERANCE
![Page 13: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/13.jpg)
COMPLICATIONCOMPLICATION
GASTROINTESTINALMECHANICALMETABOLICFORMULA RELATED
![Page 14: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/14.jpg)
GI COMPLICATIONSGI COMPLICATIONS
VOMITINGDIARRHEACONSTIPATIONABDOMINAL PAIN / BLOATINGGASTRIC IRRITATIONASPIRATION
![Page 15: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/15.jpg)
MECHANICAL COMPLICATIONSMECHANICAL COMPLICATIONS
TUBE OCCLUSIONNASOPHARYNGEAL EFFECTSTUBE FRACTUESLEAKAGEDISLODGEMENTIRRITATION
![Page 16: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/16.jpg)
METABOLIC COMPLICATIONSMETABOLIC COMPLICATIONS
HYPOVOLEMIAHYPERKALEMIAHYPOPHOSPHATEMIAHYPERTONIC DEHYDRATIONFLUID OVERLOAD
![Page 17: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/17.jpg)
FORMULA COMPLICATIONSFORMULA COMPLICATIONS
INCOMPATIBILITY WITH MEDICINESHYPEROSMOLALITYCONTAMINATION
![Page 18: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/18.jpg)
NURSING MANAGEMENTNURSING MANAGEMENT
NAUSEA AND VOMITING: ALWAYS KEEP THE HEAD 30-45 DEGREES
ELVATED FOR FEEDING. POSITION Pt. ON RIGHT SIDE TO FACILITATE
PASSAGE OF GASTRIC CONTENT THROUGH PYLORUS.
DECREASE TOTAL VOLUME OF FEED. TO OVERCOME DELAYED GASTRIC
EMPTYING STOP FEED FOR 2 HOURS AND CHECK RESIDUAL
![Page 19: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/19.jpg)
NURSING MANAGEMENTNURSING MANAGEMENT
• CONT… TO OVERCOME DELAYED GASTRIC
EMPTYING ADMINISTER PROKINETIC AGENTS(METOCLOPROMIDE,CISAPRIDE).
TO RELIEVE CONSIPATION PROVIDE FREE WATER, USE HIGH FIBER FORMULA.
STOP FEEDING IN CASE OF GI OBSTRUCTION.
![Page 20: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/20.jpg)
NURSING MANAGEMENTNURSING MANAGEMENT
• CONT… FLUSH FEEDING TUBE 3-4 HRLY TO
PREVENT OBSTRUCTION. TO OVERCOME METABOLIC
COMPLICATIONS FREQUENTLY CHECK ELECTROLYTES AND BLOOD SUGAR.
TO STIMULATE ORAL GRATIFICATION PROVIDE ICE CHIPS,SUGAR FREE CANDIES.
PROVIDE ORAL CARE 4-6 HRLY.
![Page 21: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/21.jpg)
CONCLUSIONCONCLUSION
EN IS THE PREFERRED METHOD OF NUTRITIONAL SUPPORT
SAFE AND EFFICACIOUSWELL TOLERATEDSAFER, CHEAPER, SIMPLER AND
MORE EFFECTIVE THAN PARENTERAL NUTRITION
![Page 22: Enteral Nutrition](https://reader033.vdocument.in/reader033/viewer/2022042521/55647f87d8b42a8c5e8b5193/html5/thumbnails/22.jpg)
•