NURS 224 Lecture Notes - Lecture 10: Percutaneous Endoscopic Gastrostomy, Parenteral Nutrition, Glycated Hemoglobin
28 Feb 2020
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Document Summary
Enteral feeding: nutrition taken through the mouth or through a tube that goes directly to the stomach or small intestine. Ng tube percutaneous endoscopic gastrostomy (peg) tube feed by gravity or feeding pump safe, simple, reversible. Vital signs, health history, calorie count, bmi, health assessment, safety, allergies. *increased lipase and amylase indicate liver dysfunction, signs include ascites, jaundice* Tertiary dietary interventions enteral nutrition parenteral nutrition surgical intervention pharmacotherapy. Pharmacology screening (lipid, blood glucose, bmi, waist circumference) Protein and nutrient supplements (e. g. ensure, nutrition bars) Mineral supplements (e. g. iron, calcium, magnesium, zinc) Herbal and naturopathic remedies (e. g. omega 3 oil, glucosamine, echinacea) Bariatric surgery to control obesity and diabetes lap band procedure roux-en-y gastric bypass. Complications aspiration risk dumping syndrome: excessive fluid dump after eating typically high fat substances refeeding syndrome (can occur enteral and parenteral) Remove amino acid dextrose (aad) from fridge 30 minutes prior.
