UPDATE 100% SOLVED| GRADED A+
hypertonic soln that contains higher concentration of solutes than the solution on the other
side of the membrane
hypotonic a soln that contains a lower concentration of solutes than the solution on the
other side of the membrane
renal solute load adults: 1200-1400 mOsm/L
factors to consider for rate and method of delivery medical status, feeding route and
volume, nutritional goals
Bolus method 300 to 400 mL rapid delivery via syringe several times daily
Intermittent method 300 to 400 mL, 20 to 30 minutes, several times/day via gravity drip or
syringe
cyclic method via pump usually at night
continuous method via gravity drip or infusion pump
, sources of free water liquids, water in food, water from metabolism, with tube feeding
Continuous Feeding Rate slow rate of 50-150 mL/hr for 12-24 hrs
Intermittent Feeding Rate 250-400 mL given in 5-8 fdgs per 24 hrs
Bolus Feeding Rate 300-400 mL several times a day
advantages of EN intake easily and accurately monitored, provides nutrition when oral is not
possible, costs less than PN, supplies readily available, reduces risk associated with disease,
preserves gut integrity, decreases likelihood of bacterial translocation
bacterial translocation passage of viable bacteria from the GI tract to extraintestinal sites
disadvantages of EN GI, metabolic and mechanical complications. costs more than oral, less
palatable, labor intensive
Tolernce S/s of EN consciousness, respiratory distress, N/V, diarrhea, constipation, cramps,
aspiration, adbominal distention, hydration, labs, weight change, esophageal reflux,
lactose/gluten intolerances, glucose fluctuations