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GI NutritionFundamentals of Nursing

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What indicates a need for enteral tube feeding?
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NPO order, insufficient intake for more than 5 days with functional GI tract, unable to ingest sufficient nutrients
If GRV is over ____ mL for 2 successive measurements, withhold the feeding and reassess the client's tolerance.
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200
GRV should be measured every ____ hours.
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4 to 6
A person with enteral feedings should be in a bed elevated to ____.
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30? or higher
Prokinetic meds like metoclopramide, erythromycin, and cisapride promote ____ and decrease ____.
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Promotes gastric emptying and decreases risk of aspiration.
What can increase the risk of aspiration from enteral feedings?
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Coughing, nasotracheal suctioning, artificial airway, decreased LOC, lying flat
____ is an outcome frequently associated with pulmonary aspiration of enteral feedings.
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ARDS
A serious complication of enteral feeding is?
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aspiration of formula into the tracheobronchial tree which leads to formula getting into the lungs.
____ formulas are 1-2 kcal/mL that meet specific nutritional needs due to certain illnesses.
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Specialty
____ formulas contain 1-3 kcal/mL and have predigested nutrients that are easier for a partially dysfunctional GI tract to absorb.
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Elemental
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____ formulas supply 3.8-4 kcal/mL and are single macronutrient preparations. It is added to other foods.
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Modular
____ formulas are only effective if the GI tract can absorb whole nutrients.
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Polymeric
____ enteral formulas include milk based blenderized foods. They are whole nutrient formulas and have 1-2 kcal/mL.
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Polymeric
For clients at risk for gastric reflux, enteral feedings are administered via ____ feeding.
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jejunal
Clients with a decreased risk of gastric reflux receive enteral feedings via ____.
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a gastric tube
Periactin, Megace and Marinol are all meds that?
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stimulate appetite
Insulin, glucocorticoids and thyroid hormones impact ____; this impacts nutritional needs.
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metabolism
What three basic interventions promote appetite?
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Environment free of odors, maintain oral hygiene, maintain comfort
Clients who are NPO and on IV fluids for ____ are at risk for nutritional deficiencies.
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4-7 days
Food borne illness contracted from soft cheese, hot dogs, pate, lunch meats, poultry and seafood. Can cause pneumonia, endocarditis, and meningitis?
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Listeriosis
Food borne disease contracted from undercooked meat. Can cause renal failure?
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E. coli
  
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