Nutritional support

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    12-Nov-2014

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A review on nutritional support . Note: this needs a little more revision

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<ul><li> 1. Nutritional SupportMaria Carmela L. Domocmat, RN, MSNInstructor, NCM 106School of NursingNorthern Luzon Adventist College </li> <li> 2. http://img.medscape.com/fullsize/migrated/585/397/ajh585397.fig1.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 3. http://www.stockmedicalart.com/medicalartstudio/enteral-feeding.html Maria Carmela L. Domocmat, RN, MSN </li> <li> 4. http://www.lhsc.on.ca/Patients_Families_Visitors/CCTC/images/centiv.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 5. Nasally inserted feeding tube.http://www.lhsc.on.ca/Patients_Families_Visitors/CCTC/images/feedtb.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 6. Enteral feeding solution beingadministered by feeding pump Maria Carmela L. Domocmat, RN, MSN </li> <li> 7. Percutaneous endoscopic gastrostomy (PEG) feedinghttp://0101.nccdn.net/1_5/2c3/2d8/14d/11992895971005758.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 8. Stomach empties to Stomach empties right. Duodenum into duodenum. located below liver. Duodenum becomes jejunum. Maria Carmela L. Domocmat, RN, MSN </li> <li> 9. Maria Carmela L. Domocmat, RN, MSN </li> <li> 10. Category Subcategory Characteristics Indications Standard Similar to average Normal digestion diet Protein&gt;15% of total Catabolism High nitrogen kcal Wound healing Fluid restrictionPolymeric Volume Caloric dense 2 kcal/ml intolerance Electrolyte imbalance Fiber Regulation of containing Fiber 5-15 g/L bowel function Maria Carmela L. Domocmat, RN, MSN </li> <li> 11. Category Subcategory Characteristics Indications Partially One or more nutrients are hydrolyzed Impaired digestive andMonomeric hydrolyzed. Elemental absorptive capacity Composition varies. Peptide based Less protein, low Renal Renal failure electrolyte content High branched chain amino acids (valine, isoleucine and leucine, which are known as the Hepatic stress amino acids), low Hepatic encephalopathy aromatic amino acidsDisease- (phenylalanine; tyrosine;Specific tryptophan), low electrolyte content Higher % of calories from Pulmonary fat instead of ARDS carbohydrates Diabetic Low carbohydrates Diabetes mellitus Arginine, glutamine, Metabolic stress Immune- omega-3 fatty acid, enhancing Immune dysfunction antioxidants Maria Carmela L. Domocmat, RN, MSN </li> <li> 12. Administration of feedings Bolus Intermittent Continuous Maria Carmela L. Domocmat, RN, MSN </li> <li> 13. Indications Advantages Disadvantages Noncritically ill patient Easy to administer Highest risk of aspiration, N/V, abdominal pain and Home TF InexpensiveBolus distention, and diarrhea Rehabilitation patient Short administration time (usually 15 minutes) Noncritically ill patient Flexibility in feeding Higher risk of schedule aspiration, N/V, Home TF abdominal pain and Inexpensive Rehabilitation patient distention, andIntermittent Feeding over shorter time diarrhea allows patient more free May require formula time with more calories and protein Initiation of tube Pump assisted Restricts ambulation feedings Minimizes risk of high Infused over 24 Critically ill patient gastric residuals and hours/dayContinuous aspiration Small bowel feeding Increased cost (need Minimizes risk of pump) Intolerance of metabolic abnormalities intermittent orMaria Carmela L. Domocmat, RN, MSN bolus </li> <li> 14. Maria Carmela L. Domocmat, RN, MSN </li> <li> 15. Maria Carmela L. Domocmat, RN, MSN </li> <li> 16. Type of enteral feed Maria Carmela L. Domocmat, RN, MSN </li> <li> 17. http://www.option1nutrition.com/images/productslarge.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 18. http://www.lighthousedme.com/images/products/EnteralFormula.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 19. PARENTERAL NUTRITION Maria Carmela L. Domocmat, RN, MSN </li> <li> 20. Peripheral IV INTRAVENOUS; IV An intravenous catheter is a small tube that is inserted into a vein for the purpose of delivering fluids or medications. "Intravenous" means "in a vein". It is usually referred to as an I.V. An IV catheter can be inserted into the veins of the arms or legs. This type of IV is called a "Peripheral IV". The term peripheral means "outer boundaries", therefore, a peripheral IV is located in the veins that are "away from the centre". Maria Carmela L. Domocmat, RN, MSN </li> <li> 21. Central venous line in subclavian site A "Central Venous Catheter" or Central IV is a catheter that is inserted into large veins that are closer to the right side of the heart. Maria Carmela L. Domocmat, RN, MSN </li> <li> 22. PICC linehttp://www.lhsc.on.ca/Patients_Families_Visitors/CCTC/images/picc.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 23. Multilumen catheter Maria Carmela L. Domocmat, RN, MSN </li> <li> 24. Total parenteral nutrition - infantshttp://reidhosp.adam.com/graphics/images/en/21775.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 25. Maria Carmela L. Domocmat, RN, MSNhttp://health.stateuniversity.com/article_images/gem_05_img0648.jpg </li> <li> 26. http://www.hightechohio.com/images/thumb/f990ce887e89be4fb8624f680d98548f.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 27. http://www.impactinformation.com/products/images/tubefeed_01.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 28. http://1.bp.blogspot.com/_t4q6q4qGoEI/TBDwFbXBjDI/AAAAAAAAQmY/wgf_ msif4mU/s1600/img_bagpopup.jpghttp://www.nutrinox.com/assets/auto_generated_images/img_30941b80.jpg Maria Carmela L. Domocmat, RN, MSN </li> <li> 29. Maria Carmela L. Domocmat, RN, MSN </li> <li> 30. Maria Carmela L. Domocmat, RN, MSN </li> <li> 31. Maria Carmela L. Domocmat, RN, MSN </li> </ul>

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