Question

Mindre 1. Which of the show is w one wich 2. State the rationale why the IV was w on 3. Why would receive ene r o short term therapy d er 4 Differentiate between Ensure enteral solution and other S. MM is at risk for complications related to me complications, and give specifie interventies for the (List 4 mechanical complication and physical complice as the interventions for each complication isted) 6. Diferentiate methods of delivery of enterali s De each delivery method you have listed 7. State the possible rationale for changing MM's enteral continuous feeding i

Answer 1

1, D5w-isotonic, it has sugar and solute, it was packed as an isotonic carbohydrate, it causes hypotonic in IV fluids for plasma surrounding the cells.
0.45% NaCl is hypotonic solutions, it has a low amount of solute for cells to target normal function through osmosis.
2, Patients need 4 days IV fluids, because after surgery initial period till the bowel sounds are possible IV fluids are essential as a routine maintenance IV fluid therapy to avoid fluid redistribution issues and deficit. to avoid an imbalance of fluid and electrolyte loss patients need IV maintenance fluids until reestablishing the oral intake. It should be the short term measure to avoid the risk of volume overload and avoid acid-base disturbance.
3, eternal nutrition avoids the risk of malnutrition and IV fluid problems and avoid prolong the length of hospital stay, it is a short term therapy until the patient tolerates the oral intake.
4, -ensure eternal nutrition contains whole protein, a large chain of triglycerides, a complex carbohydrate. It has all the nutrients for the digestive system. this is polymeric formula can be used for 3 weeks of period ad it is less expensive than any other formulas. It fit for the patient who has a full digestive function.
-Elemental formulas for complex nutrition requirements have medium-chain triglycerides, it will break as simple form and easy to digest, it is the pre-digestive formula and needs less digestive function. It fit for patient 2-3 weeks. Example Vivo nex, TEN
- Semi elemental formula has amino acids, simple carbohydrates, MCTs. It is partially pre-digested. example peptamen AF
-special formula for special health condition patients with surgery and diseases to meet the nutrition needs. example magnacal renal.