Hospitalized malnourished patients are at an increased risk for complications such as pressure ulcers, infections, and falls.
Enteral nutrition can be used to prevent malnutrition.
1. M. Isabel T.D. Correia,
Refaat A. Hegazi, Takashi Higashiguchi, Jean-Pierre Michel, B. Ravinder
Reddy, Kelly A. Tappenden, Mehmet Uyar, Maurizio Muscaritoli,
Evidence-Based Recommendations for Addressing Malnutrition in Health
Care: An Updated Strategy From the feedM.E. Global Study Group, Journal
of the American Medical Directors Association, 2014; 15(8); 544-550.
Hospital patients on enteral nutrition often receive only 45-65% of the ordered nutrition. 
Approximately one-third of patients arrive at the hospital malnourished. 
1. Parrish, C., McCray, S.
Part I Enteral Feeding Barriers: Pesky Bowel Sounds & Gastric
Residual Volumes. Practical Gastroenterology. 2019; 183: 35-50.
2. Tappenden, K.,
Quatrara, B., Parkhurst, M., Malone, A., Ganjiang, G., Ziegler, T.
Critical Role of Nutrition in Improving Auality of Care: An
Interdisciplinary Call to Action to Address Adult Hospital Malnutrition.
Journal of Parenteral and Enteral Nutrition. 2013; 37(4): 482-497.
Addressing malnutrition early in the hospital reduced the average length of stay by 3.2 days in a Johns Hopkins study.*
This also provided a substantial cost savings of $1,514 per patient.*
* Tappenden, K., Quatrara, B., Parkhurst, M., Malone, A., Ganjiang, G.,
Ziegler, T. Critical Role of Nutrition in Improving Auality of
Care: An Interdisciplinary Call to Action to Address Adult Hospital
Malnutrition. Journal of Parenteral and Enteral Nutrition. 2013; 37(4):
Using cola to declog a feeding tube may cause damage to the tube itself.*
It can also worsen or create future clogs.*
* Dandeles, Lauren M. and Lodolee, Amy E. “Efficacy of Agents to Prevent
and Treat Enteral Feeding Tube Clogs.” The Annals of Pharmacotherapy.
A replacement feeding tube perforated bronchial tissue, leading to a patient’s death.*
The feeding tube was replaced due to a clog.*
The patient passed away just 65 minutes after the attempt to replace the feeding tube.*
* Smith, A.L., Santa Ana, C.A., Fordtran, J.S., Guileyardo, J.M. Deaths associated with insertion of nasogastric tubes for enteral nutrition in the medical intensive care unit: Clinical and autopsy findings. Baylor University Medical Center Proceedings, 2018;31(3):310-316.
Nearly 68% of malpositioned nasogastric feeding tubes occurred in adults between 60 and 89 years old.*
These events took place in Pennsylvania between 2011 and 2016. About half of the misplacements were discovered with a chest x-ray.*
* Wallace SC. Data Snapshot: Complications Linked to Iatrogenic Enteral Feeding Tube Misplacements. Pennsylvania Patient Safety Advisory, 2017; 14:1-60.