Question

PN 200 Fundamentals of Nursing II Enteral Nutrition hypertonic MM had abdominal surgery and received D5/W and D5/0.45 % Na cl for four days. A masogastric tube was inserted for enteral nutrition. It was determined that MM's GI tract was intact and functional. Which of the above solutions was isotonic? Which was hypotonic? 1. 2. State the rationale why the IV was allowed to run for 4 days 3. Why would MM receive enteral nutrition? Is enteral nutrition needed for long term or short term therapy? 4. Differentiate between Ensure enteral solution and other forms of enteral solution. 5. MM is at risk for complications related to enteral nutrition, Discuss potential complications, and give specific interventions for the complications you have listed. (List 4 mechanical complication and 4 physical complications of enteral therapy as well as the interventions for each complication listed) 6. Differentiate methods of delivery of enteral nutrition, Describe nursing interventions for each delivery method you have listed. 7. State the possible rationale for changing MM's enteral nutrition from bolus method to continuous feeding Reviewed 12/18

Answer 1

Q. No. 1. Answer :

* D5/W is the " Isotonic solution "

* D5 and 0.45% Nacl is the " hypertonic solution "

But only 0.45 % nacl is the " hypotonic solution ".

Q. No. 2. Answer :

* MM had abdominal surgery, so post operatively we should not allow any thing through the stomach.

* to maintain normal blood glucose levels and to improve health condition and to provide energy to the client we will administer intravenous fluids to the client.

* normal post operative patients we should allow liquids after 24 hours through orally.

* but these patient he'd abdominal surgery that's what we should delay through mouth, to compensate that we will give iv fluids.

Q. No. 3. Answer :

MM is receiving enteral feeding, because he is having " Intact Gastrointestinal tract ", but it is functioning.

That type of patients we should give enteral feeling.

And also who should not able to take orally, the aim is to maintain adequate nutrition or improve nutritional status we will give enteral feeding.

Yes, it is needed any type, that is either short term or long term, if it needs short term means we can give through nasogastric tube.

If it needs long term means we will give through gastronomy tube.

Here it may be short term feeding.

Q. No. 6. Answer :

Enteral feeding should be given through different methods like

1. Naso gastric : it is given through nose to stomach.

Interventions :

* head end elevation.

* aspiration before feeling.

* maintain hygienic techniques.

2. Naso duodenal : it is up to duodenum, if any problems in the stomach or any intact.

3. Naso jejunal : in these up to jejunum we will insert the tube to give feeding.