Answer to Question 1
Mr. Maddox is a candidate for enteral nutrition support because he has had inadequate PO intake greater than 7 days and it is expected that this will continue. Also, it is important that he meets his nutritional needs at this time because he is s/p major surgery and is in a hypermetabolic state during sepsis and organ failure. Because he has no major injury to his GI tract, it is safe to administer the enteral feeding through an NG tube to the stomach for short-term use (<30 days).
He is currently hemodynamically stable after experiencing hypotension immediately post-op.
Nutrition support can be beneficial for this patient because it can preserve gut function, support immune function, and decrease episodes of bactremia and infection.
- Macronutrient, total fluid, electrolyte, and mineral content should to be considered.
- Formulas that are concentrated with minimal fluid load are desired.
- Flushes may not be tolerated well and must be monitored with fluid status.
- With CRRT, a standard, high-protein formula would be best.
Once Mr. Maddox meets 60 of his needs through oral intake, weaning from EN can ensue.
Answer to Question 2
Rich in potassium, magnesium, calcium, and fiber from
- Fruits
- Vegetables
- Low-fat dairy products
- Whole grains
- Nuts
Reduced in saturated fat, cholesterol, and total fat by
- Reduced red meats
- Increased poultry and fish
Reduced in concentrated sugars and sugar-containing beverages
Adequate kcal for wt management
Tubal ligation. To minimize the size of the incisions necessary, laparoscopic surgery may be used to
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