Read from chapters 36 to 39 from your Textbook II. Read chapter 39 and write a...

Read from chapters 36 to 39 from your Textbook

II. Read chapter 39 and write a summary about alternative feeding techniques that may be used when food and fluids are withheld (NPO) from a child.

III. Review the conditions that necessitate nasogastric gavage, gastrostomy, nasoduodenal, or nasojejunal tube feedings.

IV. Guidelines for Nasogastric Tube feedings in children

Solutions

Expert Solution

1. ALTERNATIVE FEEDING TECHNIQUES FOR A CHILD WHEN NPO

Nasogastric tube feeding: starts in the nose & ends in stomach
Orogastric tube: starts in mouth and ends in stomach
Nasoenteric tube: starts in the nose and ends in the intestine (subtypes are Nasojejunal & Nasoduodenal tubes)
Oroenteric tube: starts in the mouth & ends in the intestine
Gastrostomy: tube is placed through the skin of the abdomen straight to the stomach( types include PEG, PRG, & BUTTON TYPES)
Jejunostomy tube: placed through the skin of the abdomen straight into the intestines (subtypes include PEJ & PRJ tubes)

2. Indications for nasogastric gavage

Ill child who cannot take food orally
Premature infant who is unable to suck or swallow
Difficulty in swallowing
Respiratory distress
Severe malnutrition
Unconsciousness
Small bowel obstruction
Intractable nausea or emesis

Indications for gastrostomy

neurological swallowing disorders like cerebral palsy, multiple sclerosis
Esophageal structure or atresia
Esophageal cancer
Gastric outlet or small bowel obstruction
Major neck surgery
Any condition which requires prolonged tube feeding

Indications for Nasoduodenal/ Nasojejunal feeding

Inadequate gastric motility or intolerance( gastroparesis, delayed gastric emptying)
Partial gastric outlet obstruction
Severe aspiration risk
Esophageal reflux- coma lying flat
After upper GI surgery

Nightingale answered 1 year ago

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