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What are the differences between enteral nutrition and total parenteral nutrition? How do the implications of...

What are the differences between enteral nutrition and total parenteral nutrition? How do the implications of each method concern the nurse?

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Answer #1
External nutrition Total parental nutrition
Given via the gastrointestinal tract given via the veins
Naso gastric tube or PEG feeding are the usuall methods Veinipuncture is done
  • Nasogastric tube ti be changes once in 2 weeks and PEG feeding is permanent
  • Blockage can occur where initially flushing To be dine to relieve block if not possible,New one are inserted
  • To be changed once in every 72 hours
  • When there is sign of infection ,pain,swelling
The nutrients reaches the body via normal process The nutrients reaches the bloodstream directly
The rate of absorption is slower The rate of absorption is faster
It can injure the gastrointestinal tract It can injure the peripheral veins

In enternal nutrition the nurse is concerned about aspiration,accidental dislodgement,positioning the patient after feed ,to address any nausea or vomiting

In parental nutrition the nurse is concerned about infection ,accidental dislodgement and thrombophlebitis.

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