Dumping syndrome
after gastric surgery
characterized by dizziness, weakness, cramps, vomiting, diarrhea, shortly after eating
caused by food moving too quickly from stomach to small intestine
to prevent, eat a diet high in protein & fat, restrict CHO's
complex CHO's reintroduce gradually
fluids limited to 4oz at meals
total daily food served as several small meals to avoid overloading stomach
The Client Receiving Enteral Nutrition
includes the forms of feeding that bring nutrients directly into GI tract
tube feedings may be necessary in clients due to unconsciousness, surgery, stroke (can't pass swallow test), severe malnutrition, & extensive burns
nasogastric tube (NG) through nose into stomach or small intestine
gastrostomy (opening into stomach) or jejunostomy (opening to jejunum) surgically if needed longer than 6 weeks
numerous commercial formulas
polymeric formulas (1-2 calories / mL) clients who can digest & absorb nutrients normally
elemental or hydrolyzed formulas (1.0 calorie / mL) clients who have limited ability to digest or absorb nutrients
modular formulas (3.8-4.0 calories / mL) supplements developed customized formulas
Methods of Administration
continuous ongoing 16-24 hours
intermittent supplemented at night, food eaten in daytime
bolus short period 15-30 minutes
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