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Enteral feeding is done by passing a
tube into the stomach or duodenum
through the nose which is called
“nasogastric feeding” or directly by
surgical operation known as
“gastrostomy” and “jejunostomy
feeding”.
ENTERAL FEEDING
NECESSITY OF ENTERAL FEEDING
• Those who cannot swallow due to paralysis of
muscles of swallowing (diphtheria, poliomyelitis),
cancer of oral cavity or larynx.
• persistent anorexia.
• semi or unconscious patients.
• severe malabsorption.
• short bowel syndrome.
• who cannot digest & absorb.
• post surgery.
• severe diarrhoea.
• babies with very low birth weight.
• patients with neurological & renal disorders with
fever.
CLASSIFICATION BASED ON DURATION
OF FEEDING
1. Short term feeding usually administered as
nasogastric, nasoduodenal or nasojejunal
tubes.
2. Long term feeding usually administered as
gastrostomy or jejunostomy tubes.
SATISFACTORY TUBE FEEDING SHOULD
BE:
• Nutritionally adequate
• Well tolerated by patient so that vomiting is not
induced
• Easily digested with no unfavorable reactions
such as distension, diarrhea or constipation
• Easily prepared
• Inexpensive
Type 1 Type 2 Type 3
Natural
liquid
foods
Blenderized
feeding
Elemental
diet
TYPE OF DIETS
INGREDIENTS AMOUNT IN (GRAMS)
RICE 75
GREEN GRAM DHAL 40
BREAD 20
MILK 200
SKIM MILK POWDER 60
SPINACH 50
PUMPKIN 50
CARROTS 50
BANANA 70
SUGAR 60
REFINED OIL 20
BUTTER 7
Blenderized feeding
Blenderized feeding
• Water is added to make the
volume to 1500 ml
• each ml provides 1 calorie
• gives 50 g protein
• inexpensive
NUTRIENT AMOUNT
Fluids 30ml/kg
Energy 32kcal/kg
Protein 1g/kg body weight
Sodium 30-40 mMol
potassium 1 mMol/g of protein
FEEDING REQUIREMENTS IN ENTERAL
FEEDING
1.Enteral feeding is given when oral intake is
impossible.
2.Food is given in modified form.
3.The normal health of intestinal mucosa is well
maintained.
4.Satisfaction of taking food is felt by the patients.
5.Biochemical monitoring is required.
6.Comparatively less technical skill is required.
7.Calculation of food intake is less complicated.
8.Less expensive.
SUMMARY
Enteral feeding

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Enteral feeding

  • 1.
  • 2. Enteral feeding is done by passing a tube into the stomach or duodenum through the nose which is called “nasogastric feeding” or directly by surgical operation known as “gastrostomy” and “jejunostomy feeding”. ENTERAL FEEDING
  • 3. NECESSITY OF ENTERAL FEEDING • Those who cannot swallow due to paralysis of muscles of swallowing (diphtheria, poliomyelitis), cancer of oral cavity or larynx. • persistent anorexia. • semi or unconscious patients. • severe malabsorption. • short bowel syndrome. • who cannot digest & absorb. • post surgery. • severe diarrhoea. • babies with very low birth weight. • patients with neurological & renal disorders with fever.
  • 4. CLASSIFICATION BASED ON DURATION OF FEEDING 1. Short term feeding usually administered as nasogastric, nasoduodenal or nasojejunal tubes. 2. Long term feeding usually administered as gastrostomy or jejunostomy tubes.
  • 5. SATISFACTORY TUBE FEEDING SHOULD BE: • Nutritionally adequate • Well tolerated by patient so that vomiting is not induced • Easily digested with no unfavorable reactions such as distension, diarrhea or constipation • Easily prepared • Inexpensive
  • 6. Type 1 Type 2 Type 3 Natural liquid foods Blenderized feeding Elemental diet TYPE OF DIETS
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. INGREDIENTS AMOUNT IN (GRAMS) RICE 75 GREEN GRAM DHAL 40 BREAD 20 MILK 200 SKIM MILK POWDER 60 SPINACH 50 PUMPKIN 50 CARROTS 50 BANANA 70 SUGAR 60 REFINED OIL 20 BUTTER 7 Blenderized feeding
  • 12. Blenderized feeding • Water is added to make the volume to 1500 ml • each ml provides 1 calorie • gives 50 g protein • inexpensive
  • 13.
  • 14. NUTRIENT AMOUNT Fluids 30ml/kg Energy 32kcal/kg Protein 1g/kg body weight Sodium 30-40 mMol potassium 1 mMol/g of protein FEEDING REQUIREMENTS IN ENTERAL FEEDING
  • 15.
  • 16. 1.Enteral feeding is given when oral intake is impossible. 2.Food is given in modified form. 3.The normal health of intestinal mucosa is well maintained. 4.Satisfaction of taking food is felt by the patients. 5.Biochemical monitoring is required. 6.Comparatively less technical skill is required. 7.Calculation of food intake is less complicated. 8.Less expensive. SUMMARY

Editor's Notes

  1. Keywords: phases, 4 phases, four phases, circles