Nutrition Support questions with correct answers

What is the difference between Enteral and Parenteral Nutrition? CORRECT ANSWER Enteral: provision of nutrients into GI tract. Parenteral: provision of nutrients intravenously. Why do we no longer wait for bowel sounds or gas to start enteral nutrition? CORRECT ANSWER because small bowel motility returns before gastric or colonic motility. What are the proposed benefits of enteral vs parenteral nutrition? CORRECT ANSWER better gastrointestinal barrier function, maintains gut pH and flora, helps maintain GI mucosa, preserved gastrointestinal immunity, decreased rates of infection and cheaper, decreased length of stay. Which type of nutrition (enteral/parenteral) would you use if an individual had a low fistula or a high fistula? What categorizes a low fistula? CORRECT ANSWER low: enteral(<500 ml/day) high: parenteral When is enteral nutrition contraindicated? CORRECT ANSWER if they would be on it less than 5-7 days. Are adequately nourished and need less than 7 days. When do you start enteral feeding? How do you advance to goal rate feeding? CORRECT ANSWER within 24-48 hours following admission/surgery. If you can, start within 4 hours if indicated. Advance feedings to goal rate over next 48-72 hours Why do we start enteral nutrition feedings within 48 hours? CORRECT ANSWER lessen gut permeability and decreased release of inflammatory cytokines.