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NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients...

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Nutrition Nutrition NUR 102 Lab NUR 102 Lab Module I Module I
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Page 1: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

NutritionNutritionNutritionNutritionNUR 102 LabNUR 102 Lab

Module IModule I

Page 2: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Enteral Nutrition• Definition—administration of

nutrients directly into the GI tract• Beneficial when oral feedings are

not possible, but the stomach or intestines are able to digest nutrients

• Preferred over parenteral nutrition

Page 3: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Evidence-Based Practice

• Indications– Impaired swallowing or gag reflex

usually related to a neurological process

– Nutritional deficit due to decreased food ingestion

– Inability to eat related to surgery, injury, or disease

Page 4: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Continued…• Complications

– Displacement of tube– Electrolyte imbalance– Hyperglycemia– Constipation – Diarrhea– Clogging of the tube– Vomiting– Pulmonary aspiration

Page 5: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Enteral Feeding• Types

– Nasogastric—a small tube that is passed through the nares into the stomach

– Nasointestinal—tungsten-weighted tube inserted through the nares to allow peristalsis to move the tube through the pyloric sphincter into the duodenum or jejunum

– Gastrostomy—surgically placed feeding tube inserted into the stomach in the LUQ of the abdomen

Page 6: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Continued…

Page 7: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Continued…

Page 8: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Continued…

Page 9: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Equipment Needed• NG tube• Catheter tip syringe, 60cc• Tape or tube fixation device• Cup of water or ice chips for the

patient• Clean gloves

Page 10: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Continued…

Page 11: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Insertion of a Nasogastric or Nasointestinal Tube

• Refer to Skill 30-1, pg 1014

Page 12: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Verifying Tube Placement

• X-ray after initial insertion• pH of aspirate• Air bolus auscultation • Aspiration of gastric contents or

feeding

Page 13: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

NG Tube Irrigation• Refer to Skill 30-3, pg 1025

Page 14: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Types of NG Feedings

• Intermittent or Bolus

• Continuous drip

Page 15: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Equipment for Feeding• Clean gloves• 60cc syringe or feeding bag• Formula

Page 16: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Feeding Administration• Refer to Skill 30-4, pg 1028

Page 17: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Evaluation of Feeding• Measure residual per policy—notify

MD if >100cc• Monitor blood sugar levels per

policy• Intake and output every 8 hours• Monitor lab values—albumin,

prealbumin, protein, transferrin

Page 18: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Continued…• Daily weights• Assess respiratory status• Assess level of comfort• Assess abdomen—bowel sounds

Page 19: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Gastrostomy Feedings• Refer to Skill 30-5, pg 1036

Page 20: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

NCLEX Review Questions

Page 21: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Parenteral Therapy• Definition—specialized nutrition

support delivered intravenously• Ideal for patients who cannot

digest or absorb enteral nutrition• Provides amino acids, dextrose, fat

emulsions, vitamins, minerals, and trace elements

Page 22: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Central Venous Catheter

Page 23: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

PICC Line

Page 24: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

Nursing Care• Refer to Skill 31-1, pg 1049,

Skill31-2, pg 1-57, and Skill 31-3, pg 1061

Page 25: NutritionNutrition NUR 102 Lab Module I. Enteral Nutrition Definition—administration of nutrients directly into the GI tract Beneficial when oral feedings.

NCLEX Review Questions


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