overview of enteral nutrition , i have seperate videos for ng tube and gastrostomy procedure and it can't be viewed here.

1. ENTERAL NUTRITION

2. DELIVERY OF NUTRITION THROUGH THE
GASTRO INTESTINAL TRACT .

3. “USE GI TRACT FOR FEEDING
WHENEVER POSSIBLE”

4. CONTRAINDICATIONS OF ENTERAL
FEEDING
• BOWEL OBSTRUCTION
• BOWEL ISCHAEMIA
• ILEUS
• SEVERE CIRCULATORY SHOCK

5.  TUBE FEEDING
NASO GASTRIC TUBE
 SIP FEEDING
GASTROSTOMY JEJUNOSTOMY
METHODS OF DELIVERING ENTERAL
NUTRTION
INDICATION : PATIENT HAVING DIFFICULTY IN
EATING DUE TO SOME CAUSE BUT GI TRACT IS
NORMALLY FUNCTIONING . Eg – stroke ,
oesophageal ca , alzheimer’s , prematurity and
so on .
INDICATION :
PATIENTS WHO CAN CONSUME
FOOD ORALLY AND GI TRACT IS NORMAL
BUT APPETITE IS IMPAIRED .

6. NASOGASTRIC TUBE
Indications
• Short term requirement i.e. Less than 8 weeks
• Terminally ill Patients who can’t undergo
invasive procedure

7. GASTROSTOMY
Indication:
• Long term requirement i.e. more than 8 weeks
• Oesophageal ca , severe stoke , motor neuron
disease , maxillo-facial injury
Percutaneous endoscopic gastrostomy
pull technique push technique

8. JEJUNOSTOMY
Indication:
• Long term requirement of more than 8 weeks.
• Surgery - Gastrectomy , surgery related to
oesophagus , pancreas , defects in gastric
emptying

9. NUTRITIONAL FEEDS
DIFFERENT TYPES OF NUTRITIONAL FEEDS ARE
AVAILABLE BASED ON
CALORIES
PROTEIN CONTENT – POLYMERIC , OLIGOMERIC
CARBOHYDRATE CONTENT
FIBER CONTENT
LIPID CONTENT

10. Creating a feeding regimen
• Find out daily energy requirement and protein
requirement
• Select a feeding formula
• Calculate the desired infusion rate

11. COMPLICATIONS
• TUBE RELATED
MALPOSITION
DISPLACEMENT
BLOCKAGE
EROSION OF MUCOSA
• GI RELATED
DIARRHOEA
VOMITING
ASPIRATION

12. REFEEDING SYNDROME
• Complication that occurs when a malnourished
person begins to receive nutrition .
• There will be hypophosphatemia , hypokalemia ,
hypomagnesemia .
• There will be decrease in thiamine levels as well .
• cardiac arrythmia , confusion , convulsions , coma ,
death .