NSG 4407 Lecture Notes - Lecture 2: Retching, Feeding Tube, Nissen Fundoplication
Document Summary
For most human history of tube feeding (3500 bc), whole food mixtures (btf) provided enteral feeding. Enteral feeding became more successful and widespread in the 1940s-50s with the development of polyurethane tubing and high velocity blenders. Btf prepared by dietitians in hospital kitchens; rns delivered to patient by bolus. Btf displaced in the 1970s with commercial formula that provides a consistent, sterile product delivered by pump less likely to clog tubes. Btf re-emerging today due to patient demands for more natural feeding, treatment for tube feeding intolerance, and bridge to oral feeding. 26 weeks gestation; 1 lb 11 oz; numerous dx including bpd. At 11 months refused all foods my mouth, vomiting retching, constipation. 19 lbs 8 oz (5th%) 27 inches (0%) > corrected for prematurity. 4 oz pediasure boluses tid and 25 ml x 9 hrs via pump at night with 10 ml water. Began a daily bolus of 2 oz pureed fruit or vegetable and 2 oz water.
