Author Question: Examine the intake/output record. How much enteral feeding (kcal, protein) did the patient receive? ... (Read 52 times)

dbose · **on:** Aug 21, 2018

Examine the intake/output record. How much enteral feeding (kcal, protein) did the patient receive?

What will be an ideal response?

Question 2

Can patients on a gluten-free diet tolerate oats?

What will be an ideal response?

Koolkid240 · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

On the first and second shift the patient received 200 cc of Isosource HN for a total of 400 cc.
This means that 480 kcal and 21 g protein was provided through EN.
There is a note that the enteral feed was held after that due to high gastric residual volume (GRV).

Answer to Question 2

Restriction of oats is controversial primarily because the processing and manufacturing of oats may expose this grain to other grains processed in the same facilities.
It is generally recommended to restrict initially and then attempt to add back after symptoms have resolved.
It is recommended that initial intake be limited to c. daily.
Restriction to 50 grams of safe (no more than 20 ppm gluten) dry oats per day (1 cup cooked) has been suggested to be safe in several studies
It is also recommended to find out where oat products were manufactured and to avoid any grains from bulk bins.
Gluten-free oats manufactured on dedicated equipment (and thus not in danger of cross-contamination) are available and can be selected.