重症病人腸胃道管灌常見合併症之預防

Translated title of the contribution: Preventing Common Enteral Feeding Complications in Critically Ill Adult Patients

Tsae Jyy Wang*, Shu Fang Vivienne Wu, Shu Yuan Liang, Heng-Hsin Tung, Yu Ping Lin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Nutritional support provides critically ill patients with energy and nutrients required to face the demands of their illness and stress. For those unable to ingest orally, enteral feeding rather than parenteral feeding is recommended, as the former better preserves gut integrity, reduces risk of infection, and costs less. Early enteral feeding in critically ill patients is also associated with decreased disease severity, reduced complications, and shortened length of stay. Risks associated with enteral feeding include aspiration, diarrhea, vomiting, hyponatremia, and hyperglycemia. This article reviews current knowledge on enteral feeding and addresses correct feeding tube placement, proper feeding sites, assessing and managing gastric residual volume, and preventing feeding tube occultation. We also review information related to identifying and controlling risk factors for enteral feeding complications such as aspiration, diarrhea, vomiting, hyponatremia, and hyperglycemia. Nurses can use this information to provide high quality care for enteral feeding patients and develop institutional protocols, guidelines, and standards of care for such patients in intensive care units.
Translated title of the contributionPreventing Common Enteral Feeding Complications in Critically Ill Adult Patients
Original languageChinese (Traditional)
Pages (from-to)18-23
Number of pages6
JournalJournal of Nursing
Volume59
Issue number4
DOIs
StatePublished - 1 Aug 2012

Keywords

  • enteral feeding
  • aspiration
  • diarrhea
  • vomiting
  • metabolic complications

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