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Enteral Nutrition Practice Recommendation
Introduction  ,[object Object],[object Object],[object Object]
Enteral Access Devices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Enteral Access Devices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Long-term Feeding Devices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initiation of feeding after placement of Long-term Enteral Access Device
Timing of enteral support ,[object Object],[object Object],[object Object]
Timing of enteral support ,[object Object],[object Object],[object Object],[object Object]
Initiation and Advancement of Enteral Nutrition Regimen
Administration Rate ,[object Object],[object Object],[object Object]
Type of administration ,[object Object],[object Object],[object Object],[object Object]
Administration Rate ,[object Object],[object Object],[object Object],[object Object],[object Object]
Administration Rate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Administration Rate
Enteral feeding pump ,[object Object],[object Object],[object Object]
Flushes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medications Administration
General Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendation ,[object Object],[object Object],[object Object],[object Object]
Recommendation (cont’)  ,[object Object],[object Object],[object Object]
Monitoring Enteral Nutrition Administration
Monitoring Refeeding Syndrome (RS)
Monitoring Refeeding Syndrome (RS) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patients at high risk for RS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Check Metabolic and nutrition parameters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevent RS ,[object Object],[object Object]
Recommendation  (Not from ASPEN Guideline) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initiation of Nutrition Support ,[object Object],[object Object],[object Object]
Monitoring Gastric Residual Volume (GRV)
Method to Detect Aspiration ,[object Object]
Guideline for checking GRV  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Interpreting the Relationship Between Aspiration and GRVs  ,[object Object],[object Object],[object Object]
Use of Prokinetic Agent  ,[object Object]
When to hold EF? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Labeling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enteral Formula Safety ,[object Object],[object Object],[object Object],[object Object]
Questions?

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2009 inservice aspen guideline presentation

Editor's Notes

  1. Gastroparesis (N/V due to retention of food in the)
  2. Traditionally – wait until there was evidence that bowel function had returned as evidenced by flatus or a bowel movement
  3. Usually recommendation = 30mL/hr
  4. Gastric tubes are more easy to clog due to coagulations of protein with the acidic gastric fluid.
  5. 2) Avoid altered therapeutic drug response and incompatibility (e.g. high conc. Morphine vs low conc. Morphine), imcompatible  clogging tube 3) Sublingual/buccal tablets - direct absorption of the active ingredient through the oral mucosa. (drugs for dysphasia patient)
  6. 2) because drug absorption can be affected by the tip’s location.
  7. Larger GRV, slower Gastric emptying