Question

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

Answer 1

1.Hypotonic solutions are one which has lower solute in it or its concentration is less.Here 0.45.% NaCl is hypotonic solution

HereD5/0.45% NaCl is isotonic solution

D5 is also an isotonic solution

2.The IVF is given for the patients who has undergone abdominal surgery are because

• Homeostasis of the body can be maintained
• As patient is nil by mouth, it has to be administered to avoid deficiency
• To replace the lost fluids and electrolytes

3.As the patient has undergone an abdominal surgery, regaining of normal bowel functions can take time ,though regained will not be able to function effectively until the surgical wound heals,malnutrition is common in post abdominal surgery. So the patient has to be placed on long term enternal feeding therapy

4.Ensure solution are specifically indicated in enternal solution feeding because it can prevent micronutrient deficiencies in the post operative patients who has undergone abdominal surgery and easily digestible

The other solutions like ensure plus is high in calories and protein

The Replate solution is high in protein and micronutrients

Nutren 1.5 solution is of high calorie feeding solution