Page 23 - Friska Dietary Product Brochure.cdr
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BACKGROUND Some of these include following:
* Maintains the intestinal mucosa,
Enteral Nutrition
Enteral NutritionEnteral Nutrition
* Improves gut function
Traditionally, patients who are critically * Helps to maintain an effective barrier
ill are septic with systemic evidence of against intraluminal toxins and bacteria
infection including tachypnea, tachy- * lessens the incidence of pneumonia,
chardia, and hypo and hyperthermia. This less intra-abdominal anscesses and less
may lead to sepsis sundrome and line sepsis (in jejunostomy patients)
subsequent multisystem organ failure * Fewer infections overall (in patients with
chractertistic change in the septic patient injury severity score >20)
included an altered hormonal milieu, * Decreases Incidence of Infection, Pneumonia
hypermetabolism, depletion of energy and and sepsis (in patients with trauma).
protein, and acute anorexia. This accounts However some of the complications associated with
for 10 to 50% of deaths in the intensive enteral feeding are:
care unit. Mechanical : Placing feeding tube improperly
No wonder, today, nutritional support is Infectious : Pulmonary aspiration of tube feeds
increasingly recognised as an essential Metabolic : Hyperglycemia/ hyglycemia, blood
component of the management of critically electrolyte abnormalites, uid overload,
ill patients. The benets of the early initation hyperlipidemia
of enternal nutrition in surgical patients have Others : Diarrhoea, nausea, vomiting, delayed
now been clearly established.
gastric emptying, bloating
While the rst two are more of nursing care
NUTRITIONAL ASSESSMENT issue the later two complications are actually
related to the tye and adequancy of the
Functional GI Tract nutritional feeds provided are the hospital
litchen feeds. provided are usually nutritionally
NO YES
inadequate, inconstistent in osmolarity with
Parenteral Nutrition Enteral Nutrition unkown electrolyte content, calorie decient
and having protein source of high allergenic
GI function returns? Adequate Calories
property.
YES NO YES NO
Although kitchen feeds are the most economical
Try enteral Continue Supplement with TPN tube available, caloric information per feed
is usally not accurately known and hence it is
Tolerates?
difcult to determine the exact calories being
YES NO
provided. Non-homogenized solid material may
Switch to Enteral Continue Parenteral
block ne bore feeding tubes, a problem which
is less with commercially available feeds.
Lactose intolerance is common in malnourished
