Author Question: What options are available to improve tolerance of the tube feeding? What will be an ideal ... (Read 59 times)

asd123 · **on:** Aug 21, 2018

What options are available to improve tolerance of the tube feeding?

What will be an ideal response?

Question 2

There is a high prevalence of anemia in individuals with celiac disease. How can this be explained? What tests are used for anemia?

What will be an ideal response?

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

Answer to Question 1

With high gastric residuals, there are several options:
The enteral feeding can be stopped until the patient can tolerate the feeding.
The feeding can be delivered at a slower rate.
The feeding tube can be placed within the duodenum, which may enhance tolerance.
If the patient exhibits gastroparesis or GRVs ranging from 200-500 mL, and there are no contraindications, promotility agents may be recommended to increase gastric emptying.

Answer to Question 2

When the lining of the small intestine is damaged with celiac disease, the amount of iron absorbed is inadequate, resulting in iron-deficiency anemia.
Researchers have also found an unexpectedly high prevalence of anemia not exclusively owing to iron deficiency.
- It is often referred to as anemia of chronic inflammation and is characteristically seen in individuals with long-standing chronic inflammation.
- The immune system's response to this inflammation can hinder the body's production of red blood cells.
The test most commonly used is a complete blood count CBC), in which blood components are counted and analyzed.
- WBC
- RBC
- Hgb
- Hct
- MCV
- MCH
- MCHC
- RBC distribution
- Platelet count
- Transferrin
- Ferritin
- Iron
- TIBC
- Iron saturation
- Vitamin B12
- Folate