外科病人营养支持的护理(英文PPT).ppt

The main content Overview Enteral Nutrition(EN) Parenteral Nutrition(PN) Overview nutritional support，NS Refers to the mouth, gut or parenteral way for patients to provide more comprehensive nutrients, including enteral nutrition (EN) and parenteral nutrition( PN) The principle of nutritional support As long as the intestinal function permits ,EN is the first choice. Only when the gastrointestinal complete loss function ,can we use the total parenteral nutrition(TPN). When enteral nutrition absorption or tolerance is limited , parenteral nutrition supplement as the complement appropriate. Enteral Nutrition(EN) Refers to the alimentary canal for patients to provide more comprehensive nutrients.(Tube feeding ) Enteral Nutrition(EN) indications Normal gastrointestinal function (Cant normal eaters through the mouth; At a high decomposition; In a state of chronic consumption; Liver, kidney, lung dysfunction; Sugar intolerance.) Unhealth gastrointestinal function (?Digestive tract fistula; short bowel syndrome ; Acute necrotizing pancreatitis .) contraindications Ileus; gastrointestinal active bleeding ; abdominal?and intestinal infection ; Severe diarrhea ; malabsorption ;shock? Enteral Nutrition(EN) The give way of EN Enteral Nutrition(EN) The species of feeding tubes Enteral Nutrition(EN) Enteral Nutrition(EN) The way of EN on schedule and number of times Clearance of gravity infusion continuous infusion Enteral Nutrition(EN) nursing diagnosis risk for aspiration ：relate to Gastric emptying disorder ，Feeding tube location ，The conscious and position of patients. risk of gastrointestinal disorders :relate to not through the mouth to eat, tube feeding, intolerance. risk of impaired skin integrity : relate to the feeding tubes. Potential complications ：infection Enteral Nutrition(EN) Nursing measures ☆ Prevent aspiration ☆ Improve the gastrointestinal tolerability ☆ Avoid mucosa and skin damage The care of Infectious complications ☆ Others Hea