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Enteral Nutrition/NG tubes/Peg tubes

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Tangela Hales

on 30 September 2015

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Transcript of Enteral Nutrition/NG tubes/Peg tubes

Enteral Nutrition
Enteral Nutrition
Routes of Enteral Nutrition
Inserted into nasal passage
Fed through esophagus into stomach or small intestine
Uncomfortable for
Short-term usage
"NG tube"
NG Tube

Enteral Nutrition
Information about PN
What is used?
For how long?
Parenteral Nutrition
Intravenous feeding
Bypasses digestive tract
Less favored than
enteral nutrition
What is
For how
Inserted into stomach via small incision in abdominal wall
More invasive than oral and nasal routes
Can be used for short-term or long-term usage
Easy home care
A patient of any age who has
difficulty eating normally
Enteral nutrition helps
provide patients with nutritional support.
Improved quality of life
Technically, proper enteral feeding
can be used for as long as needed.
It is not favorable to rely on enteral
feedings, and often, the goal is to
get the patient to resume normal
eating habits. However, if the underlying
condition does not permit this, enteral
feedingcan be to sustain the patient for the
rest of their life.
There are varied reasons
for why a patient might be unable
to eat. The GI tract is used because
it is closer to the normal functioning
of the body than parenteral
Any of these may
impair eating abilities

Gastroesophageal reflux
Cystic fibrosis
Ulcertive colitis
Various types of formula
for varying ages and nutritional needs.
Tube feeding formulas
include the six essential
They may be intact or
partially broken down
for easier digestion.
Brand & amount of formula, timing & duration of the feeds, and the necessity of any additional flushes will vary based on the patient and determined by a healthcare provider.
Tangela Hales, PhD, RN
A patient of any age who
cannot consume nutrients
via the gastrointestinal
There are many different conditions which could necessitate parenteral nutrition. Ultimately, PN supplies for patients who cannot safely consume food or have difficulty absorbing nutrients via the GI tract.
Some diagnoses which
may require PN:
GI tract trauma
Short bowel syndrome
Microvillus inclusion disease
Although undesirable, TPN can sustain a patient indefinitely. There have been recorded of PN lasting decades, and the patient remains nutritionally stable.
Can be delivered as individual
Usually a mixture of the six
essential nutrients, which is known
as Total Parenteral Nutrition (TPN)
Mixture is determined by a
blood chemistry test
Method of feeding using
gastrointestinal tract
Tube Feeding
Deposited into small intestine or stomach via "tubes"
Combination of fats, proteins,
carbohydrates, vitamins,
minerals, and water into a
supplemental formula
Reasons for a NG Tube
Used for feeding clients who require short-term feedings.
Stomach decompression.
Removal of gastric contents (bile,fluid)
Introduction of fluids (meds, tube feeding)
Analysis of gastric contents
Complications of a NG Tube
Placement of tube into lung (aspiration, hypoxia, cyanosis, respiratory arrest).
Can lead to aspiration pneumonia.
Nasal irritation, epistaxis, sinusitis, rhinorrhea, skin erosion.
Correctly Placed
Misplaced NG Tube
How do you check for placement?
National Patient Safety Association(2005)
Recommend a pH of less than 5.5 feedings can be initiated (AACN, 2005)
pH < 5.5 page 1188

Percutaneous Endoscopic Gastrostomy
Check tube placement before administering any flluids, medications, or feeding.
Check residual (food remaining in the stomach).
High volumes /high risk for aspiration.
Providing Comfort Measures
Perform oral care every 2-4 hours. Lubricate lips generously.
Keep the nares clean, especially around the tube, where secretions tend to accumulate.
Clean peg tube dressings.
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