Question

PN 200 Fundamentals of Nursing I Enteral Nutrition MM had abdominal surgery and received D5/W and D5/0.45% Na Cl for four days. A nasogastric tube was inserted for enteral nutrition. It was determined that MM's GI tract was intact and functional. hypotonic? Which of the above solutions was isotonic? Which was 1. 2. State the rationale why the IV was allowed to run for 4 days Why would MM receive enteral nutrition? Is enteral nutrition needed for long term or short term therapy? 3. 4. Differentiate between Ensure enteral solution and other forms of enteral solution. 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) 5. Differentiate methods of delivery of enteral nutrition, Describe nursing interventions for 6. each delivery method you have listed. thanoped f th 7. State the possible rationale for changing MM's enteral nutrition from bolus method to continuous feeding Reviewed 12/18

Answer 1

1. Isotonic solution is D5/ w

Hypotonic solution is D5/ 0.45% NaCl

Isotonic means having the same concentration of solutes as human blood. examples: D5/w

Hypotonic means a lower osmotic pressure than the other. Solution contains less solute concentration than blood.

example: D5/ 0.45% Nacl

2. Intravenous fluid therapy after abdominal surgery helps the patient by preventing low blood pressure and organ damage, resulting from low blood pressure. Post operative IV fluid therapy is an important treatment strategy after abdominal surgery. It helps to maintain the fluid and electrolyte balance in patient thus promotes the homeostasis and wound healing.

3. Enteral nutrition refers to the feeding of patient that uses Gastrointestinal tract of patient. the word enteral refers to intestine. Enteral feeding by nasogastric tube is the introduction of food in liquid consistency to the stomach. The patient might be unable to take food orally. Enteral nutrition helps in maintaining nutritional status of patient. It helps in adequate intake of nutrients.

Short term enteral therapy can be received by Mr. MM as his gastrointestinal function is intact.

4. Ensure enteral solutions are nutritionally complete and balanced. It can be used as a meal replacement. It supplements adequate intake of Calories, protein, essential vitamins and minerals. Also it helps in maintaining the weight of the patient. Other solutions are mainly supplementing any one type of nutrient. Most of them are not a complete formula instead of supplementing any one type of nutrient.