nutrition n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Nutrition PowerPoint Presentation
Download Presentation
Nutrition

Loading in 2 Seconds...

play fullscreen
1 / 9

Nutrition - PowerPoint PPT Presentation


  • 94 Views
  • Uploaded on

Nutrition. Nov 2013. Outline. Nutritional status & requirements Enteral vs parenteral Complications Managing problems Constipation & diarrhoea . Nutritional status & requirements. Many patients malnourished on presentation This includes obese patients

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Nutrition' - trapper


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
nutrition

Nutrition

Nov 2013

outline
Outline
  • Nutritional status & requirements
  • Enteral vs parenteral
  • Complications
  • Managing problems
  • Constipation & diarrhoea
nutritional status requirements
Nutritional status & requirements
  • Many patients malnourished on presentation
    • This includes obese patients
  • If not malnourished can we wait? Short predicted stay?
  • Aim for 20-25 kcal/kg/day
  • Catabolism  high protein diet up to 2g/kg/day
enteral vs parenteral
Enteral vs parenteral
  • Not a conclusively settled argument
  • Probably early enteral with a switch to parenteral if fails and not a clear short stay patient
    • CALORIES trial
  • EN is simpler with benefit of gastrointestinal protection and fewer complications
    • but if it isn’t working properly you are starving the patient
  • Mortality increases if too large a calorie debt accumulates
complications
Complications

Enteral

Parenteral

NG misplacement

Underfeeding

Aspiration

Loose stools

Line related complications

Ongoing central access needed

Increased infection

Abnormal LFT’s

Hyperglycaemia

managing problems
Managing problems
  • NG vs NJ
  • Prokinetics
  • The NG “never event”
  • Ileus
constipation
Constipation
  • Easy to forget
  • Senna/lactulose
  • Glycerine suppositories/phosphate enema
  • Neostigmine
diarrhoea
Diarrhoea
  • Isolate and send samples
  • Hand hygiene
  • Non-infective diarrhoea is common, esp with NG feed
    • Loperamide
  • High stoma output
  • Bowel management systems
summary
Summary
  • Nutritional needs
  • NG vs TPN
  • Troubleshooting
  • Constipation & diarrhoea