Author Question: Mr. Walker was extubated on day 4 of his admission. He received a swallowing evaluation that is ... (Read 22 times)

shenderson6 · **on:** Aug 21, 2018

Mr. Walker was extubated on day 4 of his admission. He received a swallowing evaluation that is described in the following report: See Case Study book for report What is a FEES? What factors in the speech pathologist's report indicate the

continued need for enteral feeding?

Question 2

Mr. Walker has received propofol (diprivan) 25 mcg/kg/min or 8.2 ml/h. What is propofol? How many kcal would he receive from this prescription?

What will be an ideal response?

sarahccccc · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

FEES stands for fiberoptic endoscopic evaluation of swallowing and is useful in examining swallowing disorders. A fiberoptic endoscope is passed through the nostril and obtain a few of the pharynx and esophagus to assess the patient's ability to properly coordinate his swallowing and pass the bolus of food into the esophagus. Risk of aspiration and pocketing of food is also assessed.
Factors that suggest continued need for EN include his reported choking on water and fatigue/lack of cooperation after a few swallows. This suggests inadequate oral intake would occur if placed on a PO diet.

Answer to Question 2

Propofol is a lipid-based IV anaesthetic agent used for general anaesthesia. It provides 1.1 kcal/mL and the prescription of 8.2 mL/hr would provide 196.8 mL and 216 kcal/day. This should be taken into consideration when calculating the patients nutrition prescription and his daily caloric intake.