![]() ![]() Practitioners choose the formula that bests meet the patient’s individual needs. ) Enteral feeding formulasĮntering feeding formulas fall into several general categories, such as polymeric formulas, feeding modules, elemental, and specialized or disease-specific formulas. Postpyloric feedings must be administered on a continuous basis. They’re indicated for patients with gastroparesis, acute pancreatitis, gastric outlet stenosis, hyper emesis (including gravida), recurrent aspiration, tracheoesophageal fistula, and stenosis with gastroenterostomy. Postpyloric tubes end beyond the pyloric sphincter in the jejunum. ![]() They’re preferred for intermittent feeding and to allow gastric absorption. Prepyloric tubes end in the stomach above the pyloric sphincter.The two main types of feeding tubes are prepyloric and postpyloric. The practitioner selects the type of feeding tube based on the specific enteral formula the patient requires and the anticipated duration of enteral feeding. But before blaming malnutrition for abnormal albumin or prealbumin levels, clinicians must consider such factors as persistent inflammation and hepatic or renal impairment. Some also may have low albumin and prealbumin levels, which can cause fluid to pool in a localized or generalized distribution. In severe cases, they may develop osteopenia, osteomalacia, osteoporosis, muscle weakness, increased fracture risk, polyneuropathy, paresthesias, confusion, dementia, and pancytopenia. Malnourished patients with inadequate caloric and protein intake may suffer emaciation, poor healing, and pressure injuries. diminished functional status as measured by handgrip strength.localized or generalized fluid accumulation that may mask weight loss.Author Guidelines and Manuscript Submission. ![]()
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