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Similar a 2009 inservice aspen guideline presentation
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2009 inservice aspen guideline presentation
- 1. Enteral Nutrition Practice Recommendation
- 7. Initiation of feeding after placement of Long-term Enteral Access Device
- 10. Initiation and Advancement of Enteral Nutrition Regimen
- 22. Monitoring Enteral Nutrition Administration
- 23. Monitoring Refeeding Syndrome (RS)
- 30. Monitoring Gastric Residual Volume (GRV)
- 38. Questions?
Notas del editor
- Gastroparesis (N/V due to retention of food in the)
- Traditionally – wait until there was evidence that bowel function had returned as evidenced by flatus or a bowel movement
- Usually recommendation = 30mL/hr
- Gastric tubes are more easy to clog due to coagulations of protein with the acidic gastric fluid.
- 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)
- 2) because drug absorption can be affected by the tip’s location.
- Larger GRV, slower Gastric emptying