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Factors that contribute to tube clogging pt.1 – Tuesday Tube Facts

Did you know…?

Factors such as narrow tube internal diameter, longer feeding tubes, tube tip location, slow feeding infusion rates, and formation of EN formula precipitate from contact with acidic gastric secretions contribute to the risk of tube clogging.[1]

References:

  1. Escuro, A.A., Burns, B., McLaughlin, K., Lopez, R. and Cresci, G.A. (2020), Dietitians’ Evaluation of Clearing Luminal Occlusions of Gunk (DECLOG): A Pilot Feasibility Study. Nutrition in Clinical Practice, 35: 142-148. https://doi.org/10.1002/ncp.10318

Medication suitable for manipulation – Tuesday Tube Facts

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Before a medication in a solid dosage form is administered through a feeding tube, it should be determined if the medication is suitable for manipulation, such as crushing a tablet or opening a capsule.[1]

References:

  1. Williams NT. Medication administration through enteral feeding tubes. Am J Health Syst Pharm. 2008 Dec 15;65(24):2347-57. doi: 10.2146/ajhp080155. PMID: 19052281.

95% obstruction of feeding tubes – Tuesday Tube Facts

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Obstruction in feeding tubes was reported in 95% of the admixtures with incompatibility.[1]

Managing the schedule of administration of nutrition and medication, and giving enough interval time between medications will theoretically reduce the incidence of medication-nutrition interactions, and diminish incompatibilities that cause obstructions.[1]

References:

  1. Hosam Mohammed Alsamet, Considerations regarding oral medications delivery to patients on nasoenteral tubes, Nutrition Clinique et Métabolisme, Volume 36, Issue 1, 2022, Pages 21-27, https://doi.org/10.1016/j.nupar.2021.09.002.

20% of patients discharged with EN – Tuesday Tube Facts

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More than 20% of patients discharged with EN have readmissions related to EN, many within 90 days of initiating EN.[1]

Quality improvement interventions targeting post-discharge care to address these causes may decrease hospital readmissions in this high-risk and medically complex population of patients.[1]

References:

  1. Palchaudhuri, S., Mehta, S.J., Snider, C.K., Parsikia, A., Hudson, L., Compher, C., Lewis, J.D., Wu, G.D. and Pickett-Blakely, O. (2022), Causes of readmissions for patients discharged on enteral nutrition. J Parenter Enteral Nutr.. Accepted Author Manuscript. https://doi.org/10.1002/jpen.2331

Data on malnutrition and Covid-19 – Tuesday Tube Facts

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Those recovering after serious illnesses such as Covid-19 often need significant rehabilitation because of profound weakness and loss of muscle mass. Emerging data highlights the prevalence of inadequate nutrition therapy and malnutrition, which is likely contributing to these long-lasting effects.[1]

References:

  1. Suliman, S, McClave, SA, Taylor, BE, Patel, J, Omer, E, Martindale, RG. Barriers to nutrition therapy in the critically ill patient with COVID-19. JPEN J Parenter Enteral Nutr. 2021; 1– 12. https://doi.org/10.1002/jpen.2263