Post pyloric en delivery is recommended only after these strategies fail. Transition the patient from tube feeding when the patient is able to consume 75% of their nutrient needs through an oral diet, when another feeding modality is used, or when tube feeding is no longer consistent with the patients management plan. The daa nutrition support interest group has developed this manual for dietitians and other health care. Enteral tube feeding is used to provide nutrition to patients who cannot attain an. Best practices for managing tube feeding abbott nutrition.
The data used is accurate as of february 20, but may change with time. Guideline for the care and management of enteral feeding in adults. Ventilated patients should receive an orogastric tube ogt, nasogastric tube ngt or dobhoff tube dht. Bm wireko, specialist registrar in gastroenterology and tim bowling, consultant in gastroenterology and clinical nutrition. The legal and professional consequences of administering drugs via enteral feeding tubes 38 8. The use of enteral feeding tubes has increased for both short and long term feeding in both primary and secondary care due to the increase in awareness of the importance of adequate nutritional intake. Tube feeding, also called enteral nutrition, is a way food can get into your body if you are unable to eat or unable to eat enough. Tube feeding at home a guide for families and caregivers. Tube feeding is a way of providing nutrition to people who cannot eat and drink enough for a period of time. Enteral nutrition means that a liquid, nutrientrich formula flows gently through a tube into your stomach or intestine.
If unable to place a njft, consider the use of an orogastric og or nasogastric ng tube, with intent to discontinue enteral feeds 6 hours prior to transfer. Patients at high risk for aspiration should receive small bowel feeding access. Choice of medication formulation alimemazine trimeprazine tartrate25 7. If gastric feeding is unsuccessful due to enteral feeding intolerance, use of a prokinetic agent to enhance motility is recommended as the second step. Home enteral nutrition feeding tube overview youtube. Introduction home tube feeding nestle health science. Home enteral nutrition tube feeding nutrition support team enteral formula monitoring summary this guideline will inform physicians, nurses, dieticians, pharmacists, caregivers and other home enteral nutrition hen providers about the indications and contraindications for hen, and its implementation and monitoring. Icu enteral feeding guidelines initiation of feeding. Document daily intake from all sources in the medical record. For consultation to dietician andor nutrition support services. If prolonged enteral feeding 4 weeks is expected, then placement of a surgical feeding tube should be considered. The effect of enteral tube feeding on patients healthrelated. This guideline will inform physicians, nurses, dieticians.
This guidance is informed by nice clinical guideline 32. Nutritional support using enteral and parenteral methods. Lisa epp, a nutritionist with the home enteral nutrition program at mayo clinic demonstrates the use of feeding tubes. The correct position of the tube should be confirmed by auscultation and kub. Get a printable copy pdf file of the complete article.
888 924 68 640 265 812 1301 554 995 515 810 1086 919 573 175 882 1226 483 353 1308 974 1057 1021 1266 1194 1456 950 301 171 961 540 1230 894 1396 362 211 246 1476 321 1439 467 72 1337 849 1038