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MNT: Exam 2 - Enteral Nutrition with 100% complete solutions 2024
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Nutritionally complete formulas are delivered through a tube placed directly into the GI tract, distal to the oral cavity. Used when a patient is unable to eat but may be able to digest foods and absorb nutrients normally correct answersTube Feedings nutrition support is generally provided by...

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  • August 29, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • mnt exam 2 enteral nutrition

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  • MNT: E - Enteral Nutrition
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MNT: Exam 2 - Enteral Nutrition

Nutritionally complete formulas are delivered through a tube placed directly into the GI tract, distal to
the oral cavity.

Used when a patient is unable to eat but may be able to digest foods and absorb nutrients normally
correct answersTube Feedings



nutrition support is generally provided by members of the NUTRITION SUPPORT TEAM correct
answersNutrition Support



USUAL SUPPORT TEAM MEMBERS AND QUALIFICATIONS

Certified Nutrition Support Clinician (CNSC)

Pharmacist - PharmD

Dietician - RD correct answersNutrition Support Team



all cases must be assessed for risk versus benefit correct answersIndications for Tube Feeding



Consider a TF if it is a bridge to improve your patients long term status

Often, you do not know yet

They may recover from the stroke or MVA

If adequate time has passed with no improvements then its no longer a bridge to anything better.

When reaching end of life decisions the MD may offer TF when it is not going to improve the patients
health correct answersEthical Decisions in TF



If the gut works, use it

Must have at least 100 cm of small bowel correct answersIndications for Tube Feeding



At high risk for malnutrition due to a hypermetabolic state induced by major burns, trauma, surgery,
sepsis etc correct answersHYPER METABOLIC STATES/HIGH NEED

,(Indications for Tube Feeding)



Poor appetite/anorexia due to coma or severe neurological problems, depression, anorexia nervosa,
dementia/Alzheimer's, cancer cachexia, chemotherapy, radiation therapy correct answersANOREXIC
DISORDERS/INABILITY TO EAT



(Indications for Tube Feeding)



an abnormal connection between an organ, vessel, or intestine and another structure.



are usually the result of injury or surgery. It can also result from infection or inflammation correct
answersFistula



Complete mechanical bowel obstruction

Less than 10% of the SI or severe damage to most of the SI

Severe diarrhea

Acute bowel ischemia

Severe total ileus

High output fistula

Severe acute pancreatitis correct answersContra-Indications for Tube Feeding



The prognosis does not warrant aggressive treatment and patient's death is imminent

Generally avoid feeding into the stomach in severe gastritis or active bleeding ulcers

Right of self determination- a competent patient refuses to be tube fed correct answersContra-
Indications for Tube Feeding



Lower serious complication rate

Less hyperglycemia, sepsis etc.

Solutions and equipment do not have to be sterile

, Stimulates the GI tract and helps maintain gut mass, integrity, hormonal balance, mucosal enzymes such
as dissaccharidases and peroxidases and nutrient utilization correct answersAdvantages

AS COMPARED TO Parenteral Nutrition



artificial opening created by surgical procedure correct answersSurgically Placed Tubes

GI Access



"Ostomy"



Access route described by where it enters the body and where the tip is located correct
answersNasogastric (NG)

Orogastric

Nasointestinal



Surgically Placed Tubes



Can't feed into the stomach if gastric decompression is needed or patient is vomiting

Do NOT place a gastric tube if recent gastric or esophageal surgery or no gag reflex correct
answersGastronomy Disadvantages



Advantages

Really little

Disadvantages

Harder to place and easily dislodged (typically moving back into the stomach) correct answersDuodenal
Tubes



Needle catheter- often the catheter or small feeding tube is placed through a needle into the SI during
surgery of via a laporatomy

Surgical jejunostomy- similar to gastric procedures except the tube is smaller and is placed in the SI

Percutaneous endoscopic jejunostomy (PEJ)- procedure is similar to a PEG correct answersJejunostomy
Tube

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