Explain the steps involved in providing an intermittent enteral feeding.

Enteral feeding is generally safe. Complications are quite frequent, but most are minor and easily managed. This article is aimed at ward-based clinicians dealing with the everyday issues of enteral tube feeding (ETF). It is therefore intended to be a brief description of the essential clinical information to allow for safe and good practice.

Explain the steps involved in providing an intermittent enteral feeding.. Enteral nutrition refers to any method of feeding that uses the gastrointestinal (GI) tract to deliver nutrition and calories. It can include a normal oral diet, the use of liquid supplements or delivery by use of a tube (tube feeding). The site of entry of the tube and tube types will be discussed under "enteral access."

The transition from parenteral to enteral nutrition often begins with minimal enteral feeding or trophic feeding (≤24 mL/kg/d), then changes to progressive feeding (increments of feeding volumes usually by 10–35 mL/kg/d each day), and concludes with full enteral feeding (≥120–150 mL/kg/d) 11 – 14 ( Fig. 2 ). Fig. 2.

Explain the steps involved in providing anintermittent enteral feeding.2. Where would the nurse place the diaphragm of astethoscope when auscultating the pulmonic. Please answer these 3 questions, please be. ... The steps involved in providing intermittent enteral feeding are: perform hand hygiene check patient identification. check allergies ...Explain the steps involved in providing an intermittent enteral feeding. Step 1: Perform hand hygiene, step 2: ID patient, step 3: check allergies Step 4: verify orders by MD checking: formula type, route, frequency, patient, dose Step 5: PREPARE FEEDING CONTAINER TO ADMINISTER FORMULA: verify correct formula, check exp. Date, formula needs to ...Question Answered step-by-step 1.Explain the steps involved in providing an intermittent enteral... 1. Explain the steps involved in providing an intermittent enteral feeding 2. Provide three (3) possible manifestations of hypokalemia. 3. What principles of wound care should the nurse include when completing wound care for a client with sutures?Explain the steps involved in providing an intermittent enteral feeding. Instant Video Answer ... Instant Text Answer. Step 1/10 1. Gather all necessary equipment: Before starting the feeding process, ensure that all the necessary equipment is available, including the feeding pump, feeding bag, feeding tube, and syringe. ...PEG/Gastrostomy feeding tube. 2 small discs that are on the outside and the inside of the gastrostomy opening (or stoma) in your stomach wall. These discs prevent the feeding tube from moving. The disc on the outside is very close to the skin. A clamp to close off the feeding tube. A device to attach or fix the tube to the skin when not feeding.If small intestine feeding planned, a long, thin, intestinal feeding tube (nasoenteric tube) for long-term enteral feeding (use with a stiffening wire or stylet) Cup of water and straw. 60-mL catheter-tipped syringe. Lubricant. Emesis basin. Towel or blue pad. Stethoscope. Tape and benzoin. Suction (wall or mobile device)

Enteral nutrition, also known as tube feeding, is a way of sending nutrition right to the stomach or small intestine. Your healthcare professional might suggest tube feeding if you can't eat or drink enough to get the nutrients you need. Tube feeding outside a hospital is called home enteral nutrition (HEN). A HEN care team can teach you how to ...Book: ASPEN Enteral Nutrition Handbook Second Edition 2019. This handbook contains recommendations on safe practices, ENFit ®, and information on preparation, labeling, and dispensing of EN. It is a step-by-step, practical guide to caring for patients receiving EN therapy. Indications for Enteral Nutrition.Answered by ProfessorCranePerson504. 1. Explain the steps involved in providing an intermittent enteral feeding. Hand hygiene should be practiced. Identify the patient (name and birth date) Examine your allergies. Orders should be double-checked by MD using the following criteria: *formula type. *route. *regularity...The aim of this document is to provide guidance to multidisciplinary teams - general physicians, surgeons, specialists, nursing staff, dietitians, and nutrition teams. It aims to provide pragmatic guidance for the inpatient management of people who have diabetes and who require a period of enteral feeding to improve patient outcomes and patientEnteral feeding can start 2–4 h after a percutaneous feeding tube has been inserted, there is no evidence to support giving water alone at first . Enteral feeding tubes are used for the administration of feeds, water and, if necessary, medications (Box 6) (Fig. 7); they may become blocked by feed or medication solidifying within the tube ...You can read 31+ pages explain the steps involved in providing an intermittent enteral feeding analysis in Doc format. EN is regulated by m...The steps involved in providing an intermittent enteral feeding include preparing the enteral feed, checking the prescription and any special instructions, checking the patient's tube or gastrostomy site to ensure it is patent, flushing the tube with water, and administering the enteral feed according to the prescribed rate.

Explain the steps involved in providing an intermittent enteral feeding 2. Provide three (3) possible manifestations of hypokalemia. 3. What principles of wound care ...Learn how to administer enteral nutrition via a syringe or an infusion pump with these flashcards from ATI. See the steps involved in flushing, checking, and documenting the tube feeding process.Interruption of enteral nutrition (EN) in the intensive care unit (ICU) occurs frequently for various reasons including feeding intolerance and the conduct of diagnostic and therapeutic procedures. However, few studies have investigated the details of EN interruption practices including reasons for and duration of interruptions. There is no standard protocol to minimize EN interruptions.Follow Steps 1 through 12 in the "Checklist for Oral Medication Administration.". Prepare each medication individually in its own cup. Crush pills, open capsules, and pour liquid medication into a medication cup. Dilute the medication in 5 to 10 mL of water. If the enteral tube is attached to suction for gastric decompression, disconnect.VIDEO ANSWER: The doctor ordered 10 grams of morphine for a question. The does is about 4% of morphine. There is a large amount of morphine on hand. So how many million liters of morphine should be? The conversion of the unit to 1.5 millimeterIn intensive care, it is most commonly recommended to provide enteral nutrition in a continuous pattern, rather than an intermittent pattern that better mimics feeding patterns in normal daily life (Singer et al. 2018; NICE 2006). There is little information on the role of enteral feeding patterns on endocrine and metabolic responses in vivo in ...

Restaurants at mayfaire wilmington nc.

Explain the steps involved in providing an intermittent enteral feed. o Get an X-ray to make sure it is placed properly o Check gastric PH before each feeding o Maintain a semi-Fowler’s position when feeding is being given o Check residual in the stomach and refeed the residual unless it exceeded the maximum o If there it exceeds 100ml for ...Assess the patient for tolerance of the feeding. Slow infusion as necessary. Do not allow air to enter the tube when refilling the syringe. After formula is administered, flush the NG tube with 30 mL of water. If a patient is unable to tolerate the feeding, slow or stop the infusion. Document and report the intolerance.In critically ill patients, the implementation of intermittent enteral feeding was associated with higher incidence of diarrhea and distension, longer length of ICU stay, but lower occurrence of constipation. Nevertheless, the absence of sufficient high-quality randomized controlled clinical trials …Enteral nutrition is administration of a specialized liquid food mixture that contains proteins, carbohydrates, lipids, vitamins, and minerals into the stomach or small bowel through tube-feeding ...

The transition from parenteral to enteral nutrition often begins with minimal enteral feeding or trophic feeding (≤24 mL/kg/d), then changes to progressive feeding (increments of feeding volumes usually by 10–35 mL/kg/d each day), and concludes with full enteral feeding (≥120–150 mL/kg/d) 11 – 14 ( Fig. 2 ). Fig. 2.This guideline covers identifying and caring for adults who are malnourished or at risk of malnutrition in hospital or in their own home or a care home. It offers advice on how oral, enteral tube feeding and parenteral nutrition support should be started, administered and stopped. It aims to support healthcare professionals identify malnourished people and help them to choose the most ...There are several methods for enteral nutrition administration: continuous feeding involves administration of EN over 24 h assisted by a feeding pump; cyclic feeding involves administration of EN ...Enteral nutrition or tube feeding is a method of supplying nutrition through a feeding tube. This tube goes directly into the stomach or small intestine, bypassing the mouth and oesophagus. It is an option when adequate nutrition cannot be taken by mouth. But otherwise, a person's gut is still working normally to digest and absorb food.Other side effects include: slight nasal bleeding. nasal congestion. nasal infection. If you're feeding your baby through a feeding tube at home, it's important to watch for signs of tube ... Provide for a safe environment. Body mechanics Equipment placement Patient safety. EDUCATOR IMPLEMENTATION GUIDE PAGE 4 SKILLS MODULES 2 CHECKLIST FOR ENTERAL TUBE FEEDINGS Demonstrate procedural steps CHECK/INITIAL COMMENTS Administering enteral nutrition via syringe. Auscultate for bowel sounds. I vividly remember providing a G-tube feeding in my very early days as a nursing student, forgetting to clamp the G-tube off, and it leaking all over the bed. So not only did my patient, unfortunately, lose his feeding, but there was much cleaning and linen changing that had to occur. So just make sure your lines are closed.Enteral access can be obtained by passing a feeding tube through the nose (nasogastric and nasojejunal) and mouth (orogastric) at the bedside. It can also be achieved by surgically implanting a feeding tube into the gut, such as a feeding gastrostomy (stomach) or a feeding jejunostomy (jejunum).Enteral nutrition has been shown to be safe, cost effective, and compatible with the body's normal processes. Adequate nutrition support is important for the following reasons: malnutrition has been found to affect around 40% of patients in major Australian hospitals1,2.

Mark Zuckerbeg's fortune fell $2.9 billion Friday after he posted plans to shift users’ news feeds toward content from family and friends. By clicking "TRY IT", I agree to receive ...

Next, follow these steps, and any steps your nurse gave you: Start with the feeding set, close the roller clamp and fill the feeding bag with food. If a button is being used, connect the extension set to the end of the feeding set. Hang the feeding bag high on a hook and squeeze the drip chamber below the bag to fill it at least half way with food.Enteral feedings deliver nourishment through a tube directly into the GI tract. They’re ordered for patients with a functioning GI tract who can’t ingest enough …Describe the steps i. Answered over 90d ago. ... Explain the steps involved in providing an intermittent enteral feeding 2. Provide three (3) possible manifest. Answered over 90d ago. 100 % Q A ... Stools of patient would be very watery if colon too, is involved in the infection. Hence, assessment of stools is also necessary.The strategy of intermittent enteral feeding, theoretically, may provide physiological and metabolic benefits over continuous enteral feeding, such as the improvement of protein synthesis ...Wash hands with soap and dry with a clean towel. Clean all work surfaces. Collect the tube feed and the giving set /syringe. Set up the feed on the cleaned surface. Before and after you use the tube for feeding, or to give medications, be sure to flush the tube with either sterile or cooled boiled water. Your dietitian should give you more ...Enteral feeding can start 2–4 h after a percutaneous feeding tube has been inserted, there is no evidence to support giving water alone at first . Enteral feeding tubes are used for the administration of feeds, water and, if necessary, medications (Box 6) (Fig. 7); they may become blocked by feed or medication solidifying within the tube ...Study with Quizlet and memorize flashcards containing terms like To prevent a common complication of continuous enteral tube feedings, a nurse should, A nurse inserting a nasogastric tube asks the pt to flex her head toward her check after the tube passes through the nasopharynx. The action facilitates proper insertion of the tube by, To prevent aspiration during the administration of an ...In clinical management of acutely ill adults and children, continuous enteral feeding (CEF), being considered the most tolerable approach, in comparison to other temporal patterns …Follow Steps 1 through 12 in the "Checklist for Oral Medication Administration.". Prepare each medication individually in its own cup. Crush pills, open capsules, and pour liquid medication into a medication cup. Dilute the medication in 5 to 10 mL of water. If the enteral tube is attached to suction for gastric decompression, disconnect.I vividly remember providing a G-tube feeding in my very early days as a nursing student, forgetting to clamp the G-tube off, and it leaking all over the bed. So not only did my patient, unfortunately, lose his feeding, but there was much cleaning and linen changing that had to occur. So just make sure your lines are closed.

How did gary muehlberger passed away.

Grand china hilliard oh.

Study with Quizlet and memorize flashcards containing terms like Why does the nurse elevate the head of the bed to 30 degrees for a patient receiving an intermittent tube feeding? A-Elevating the head of the bed reduces the risk for aspiration. B-Proper elevation of the head of the bed promotes the patient's digestion. C-Acid reflux is reduced when the head of the bed is elevated at least 30 ...Your Feeding Tubes Surgical Patient Education Enteral refers to within the digestive system or intestine. Enteral feeding tubes allow liquid food to enter your stomach or intestine through a tube. The soft, flexible tube enters a surgically created opening in the abdominal wall called an ostomy. An enterostomy tube in the stomach isFeeding intolerance (FI), defined as the inability to digest enteral feedings associated to increased gastric residuals, abdominal distension and/or emesis, is frequently encountered in the very preterm infant and often leads to a disruption of the feeding plan. In most cases FI represents a benign condition related to the immaturity of gastrointestinal function, however its presentation may ...Continuous feeding uses a constant rate hourly by an electric feeding pump for 24 h per day (8). The infusion speed is relatively low and is therefore theorized as a safer enteral nutrition ...Abstract. Enteral feeding is defined as the intake of food directly into the gastrointestinal (GI) tract. Enteral feeding tubes can also be used to administer medicines. Patients who may require enteral feeding include those who are unconscious, or those with neurological swallowing disorders, upper GI obstruction, GI dysfunction or malabsorption.The most common method of enteral feeding delivery for children is an enteral feeding pump, which controls delivery. Feedings may be intermittent, also …An enteral feeding tube is one that allows feed to be administered via a tube directly into the stomach or the small bowel (Druml et al, 2016). It is used in individuals who have functioning guts but who are unable to meet their nutritional requirements orally. A report by BAPEN's British Artificial Nutrition Survey (BAPEN, 2018) suggested that there are about 3216 patients in the community ...Enteral access can be obtained by passing a feeding tube through the nose (nasogastric and nasojejunal) and mouth (orogastric) at the bedside. It can also be achieved by surgically implanting a feeding tube into the gut, such as a feeding gastrostomy (stomach) or a feeding jejunostomy (jejunum). ….

When administering enteral nutrition, there are two options: continuous feeding and intermittent feeding. Continuous feeding is when nutrition is delivered down the line via pump. Intermittent feeding is delivered via gravity, pump, or bolus feeding with a syringe. Note that when increasing the feeding rate, do this slowly until the ordered ...A newly diagnosed with diabetes mellitus and is terrified to perform glucose monitoring. Identify two (2) points the nurse should teach the client to minimize pain. The RN should teach the patient to alternate fingers and return a demonstration of how he performs the task. This will help the RN to gather information about the patient's technique because it could be painful without the proper ...Dec 11, 2020 · Intermittent feeding can establish a pattern of intermittent secretion of gastrointestinal hormones, which is more conducive to the establishment of a basic physiological environment for digestion and absorption in gastrointestinal tract. What is more, intermittent feeding can reduce the number of bacteria in stomach, especially at night. Enteral nutrition is a type of feeding that uses a person's gut (gastrointestinal tract). It bypasses the mouth and the need to swallow. It might also be called a tube feeding. These tubes allow you to get fluid and nutrients without eating or drinking. The common types of tubes used are: Nasogastric (NG) tube.Data analysis: Descriptive statistics were used to analyze data. Results: (1) Checking the flow rate of enteral feeding: Flow rates were checked between 1 to 4 hours by 70% of the nurses, whereas 16% checked every 8 hours, and the remaining 14% checked every 12 hours or longer. (2) Flushing the enteral tube: Ninety-four percent of respondents ...Question Answered step-by-step 1.Explain the steps involved in providing an intermittent enteral... 1. Explain the steps involved in providing an intermittent enteral feeding 2. Provide three (3) possible manifestations of hypokalemia. 3. What principles of wound care should the nurse include when completing wound care for a client with sutures?Most participants received enteral nutrition via naso-gastric tube (59.1%), followed by gastrostomy (15.2%), intermittent oro-oesophageal tube feeding [24] (14.8%), or a combination of methods (11 ...14-May-2019 ... Appendix 12: Potential Problems Associated ... • Explain the procedure to the patient and provide education. ... o Gastric tolerance to intermittent ...60 mL of water (room temperature or warm, plain tap water) in a cup. Paper towels. Wash your hands with warm water and soap for at least 20 seconds or use a hand sanitizer. Pull up 60 mL of water into the syringe. Place the paper towels under the Y-port at the end of the tube to absorb any drainage. Clamp the tube.Question: Explain the steps involved in providing an intermittent enteral feeding. Explain the steps involved in providing an intermittent enteral feeding. Here's the best way to solve it. Who are the experts? Experts have been vetted by Chegg as specialists in this subject. Explain the steps involved in providing an intermittent enteral feeding., Explain the steps involved in providing an intermittent enteral feeding 2. Provide three (3) possible manifest. Answered over 90d ago. 100 % Q 3.A nurse is caring for a 7-year-old client. The client is prescribed methotrexate for rheumatoid arthritis and doxycycl ... Describe the steps a nurse should use when teachin., If small intestine feeding planned, a long, thin, intestinal feeding tube (nasoenteric tube) for long-term enteral feeding (use with a stiffening wire or stylet) Cup of water and straw. 60-mL catheter-tipped syringe. Lubricant. Emesis basin. Towel or blue pad. Stethoscope. Tape and benzoin. Suction (wall or mobile device), Study with Quizlet and memorize flashcards containing terms like What would the nurse do if he or she were not able to insert a nasogastric tube in either of a patient's nares? Ask another nurse to attempt the insertion. Document the attempts in the patient's medical record. Notify the physician that the attempts were unsuccessful. Allow the patient to rest for 30 minutes before resuming the ..., Enteral tube feeding 1.9.2. All people in the community having enteral tube feeding should be supported by a coordinated multidisciplinary team, which includes dietitians, district, care home or homecare company nurses, GPs, community pharmacists and other allied healthcare professionals (for example, speech and language therapists) as appropriate., For patients undergoing mechanical ventilation, continuous enteral feeding significantly improved the achievement of target nutrition requirements. The appropriate strategy for enteral feeding remains a matter of debate. We hypothesized that continuous enteral feeding would result in higher rates of achieving target nutrition during the first 7 days compared with intermittent enteral feeding ..., Enteral nutrition. used when a client cannot consume adequate nutrients and calories orally, but maintains a partially functional GI system. medical conditions that hinder clients nutritional status. neuromuscular impairments. infant too weak for sucking, unable to coordinate swallowing, lacks a gag reflex. can augment an oral diet or be the ..., 3. Explain the steps involved in providing an intermittent enteral feeding. For all feedings, prepare the formula, tubing, and infusion device (check expiration dates, ensure the formula is at room temperature, etc.), ensure the client is in a Fowler’s position or at least 30 degrees, auscultate bowel sounds, monitor tube placement (check ..., The patients were randomly assigned into bolus feeding, intermittent feeding, and control groups. Enteral feeding intolerance of all patients was recorded in 3 consecutive days by a researcher-made checklist including the data on gastric residual volume, vomiting, diarrhea, constipation, and abdominal distension. RESULTS, Depending on the tube feeding plan, the formula may be delivered by: Syringe (for bolus feeding).; Gravity (for intermittent feedings) May not be appropriate for thicker formulas made with real food ingredients or blenderized formulas.; Feeding Pump (for continuous feeding and some intermittent feedings).; A feeding method (the timing and delivery) may be chosen because of:, During the present study, there were no significant differences between the intermittent enteral feeding group and continuous enteral feeding group in terms of diarrhea (44.9% versus 44.0%; p > 0. ..., Apr 15, 2020 · Explanation: Intermittent enteral feeding is a form of nutrition support for patients who cannot consume food normally. Here are the steps involved: Ingestion: The prepared nourishment, typically a specialized formula, is taken in through a tube which is inserted either through the nose, the mouth, or directly into the stomach or small intestine. , To determine how much of the length of a nasoenteric tube to insert, a nurse should measure the distance from the tip of the pt's nose to the earlobe and from the earlobe to the. Umbilicus. Xiphoid process. Manubrium plus 10-20 cm more. Xiphoid process plus 20-30 cm more. Study with Quizlet and memorize flashcards containing terms like A nurse ..., The goal of this article is to provide a review of enteral feeding practices considering gastrointestinal anatomy and physiology and identifying the evidence available (if any) to support ..., use simple goals based on patient size (25kcal/kg/day + 1.5g protein/kg/day) if EN delivery fails use TPN to complement or replace. control glucose with insulin. give glutamine. ENTERAL NUTRITION. via NGT. some risk may be minimised with PEG, post pyloric feeding or feeding jejunostomy. Advantages., PEDIATRIC NEWBORN MEDICINE CLINICAL PRACTICE GUIDELINES. 5. NG-tube feeds involve the gavage tube being taped to the face. The tube is passed through the nose, on though the pharynx and esophagus, and into the stomach. Data supporting the safety of discharge home with NG-tube feeding supplementation is currently limited and based on ..., nasogastric. A nurse has washed her hands and donned gloves to prepare for checking the gastric residual for a client. Place the steps in this skill in the correct sequence from first to last. Stop the infusion of the tube-feeding formula. Aspirate fluid from the feeding tube using a 50-mL syringe., Enteral feeding is involuntary, or nonvolitional, and often delivered continuously, as opposed to the intermittent and voluntary intake of oral food. Enteral nutrition is associated with risks and complications. This article will focus on tubes and access to the gastrointestinal tract, types of enteral formulas, indications, complications, and ..., Explain the steps involved in providing intermittent enteral feeding. Support the client verbally and describe the steps of the procedure as needed. When providing intermittent enteral feeding first the nurse should prepare the formula, tubing, and infusion device and check the expiration dates and noting the contents of the formula., A. Flush the feeding tube with 30 mL of water. B. Add blue food coloring to the enteral formula. C. Ensure the formula is at room temperature. D. Place the client in Fowler's position. D. Place the client in Fowler's position. RATIONAL: Positioning a client in Fowler's position during a tube feeding can reduce the risk of regurgitation, which ..., Enteral feeding refers to intake of food via the gastrointestinal (GI) tract. The GI tract is composed of the mouth, esophagus, stomach, and intestines. Enteral feeding may mean nutrition taken ..., ENTERAL (NASOGASTRIC TUBE) FEEDING. Enteral feeding refers to the introduction of a complete liquid formula directly into the stomach or small intestine via a narrow, specifically designed tube, in the presence of a functioning gut. Contraindications for nasogastric tube feeding as main source of feeding. This list is not inclusive:, This may include a continuous gravity feeding that is manually controlled with a feeding bag and a roller clamp to help control the rate; and intermittent gravity feeding where 200-300 mL are delivered over 30-60 minutes every 4-6 hours; and, a bolus feeding where a specific volume of feeding is infusing via bag or a syringe rapidly over ... , "You gave us our answer: People don’t want two separate feeds." Facebook is ending its controversial “Explore Feed” feature, an experiment that seemed to be doomed from the very be..., Not all patients will be suitable for enteral tube feeding. Placement of an enteral tube should be an MDT decision and include the patient where possible. A wide range of different enteral tubes will be used with patients - the care of the tube is dependent on the make and feeding route. All staff involved in enteral feeding will receive ..., Nursing Interventions for Enteral Feeding. Enteral feeds help maximize nutrition for patients in a variety of health care settings. It is estimated that 345,000 people in America receive nutrients from tube feedings. Alarmingly, 60% of patients who receive nutrients through a tube will develop a risk for aspiration pneumonia., Aug 21, 2023 · In this updated meta-analysis of 13 RCTs, we found that intermittent enteral feeding in critically ill patients was associated with high occurrence of feeding intolerance, including diarrhea and distension. However, there is a higher risk of constipation associated with continuous enteral feeding. , Enumerate and explain the steps involved in providing an intermittent enteral feeding. health. Explain the steps involved in providing an intermittent enteral feeding? health. Name the four categories of enteral formulas? (Select all that apply.) a. Enteral macronutrient b. Elemental/semi-elemental, Premature infants commonly suffer from extrauterine growth restriction from inadequate nutrition and the loss of the last months of gestation, a critical period for brain and body growth. Providing optimized nutrition for the premature infant is a crucial task of the neonatologist and has a significant impact on the future growth and neurodevelopment of these infants. Enteral feeding is ..., More commonly, however, intermittent EN is used as a strategy to promote oral intake in those that are transitioning to a diet. Nocturnal intermittent feedings are often utilized in these cases; holding EN during waking hours helps promote hunger, while providing EN at night ensures that the patient still receives adequate nutrition., Explain the steps involved in providing an intermittent enteral feeding. Suggested Fundamentals Learning Activity: Enteral Feeding First, the nurse should prepare the solution and remove the plunger from the 60 ml syringe. Then you should connect the syringe to the port and open the stopcock., Definitions. Enteral nutrition is the process of nourishing a patient with a liquid diet of defined composition, usually given through a na-sogastric, nasointestinal, gastrostomy, or jejunostomy tube. Parenteral nutrition is the administration of nutrients directly into the bloodstream through a central venous catheter or by peripheral infusion., Continuous enteral feeding is commonly used; however, a bolus or intermittent method of administration may provide several advantages such as minimising interruptions. The purpose of this meta ..., Mr. Chavez will tolerate enteral nutrition and water flushes providing 2244kcals, 80g protein, and 2280cc fluid with gastric residual volumes less than 15cc/shift, no diarrhea, vomiting or abdominal pain. Mr. Chavez will maintain hydration status as evidenced by normal laboratory values, no electrolyte imbalance or decreased urine output.