tube feeding


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feeding

 [fēd´ing]
1. the taking of food.
2. the giving of food.
3. in the nursing interventions classification, a nursing intervention defined as providing nutritional intake for a patient who is unable to feed self.
artificial feeding feeding of a baby with food other than mother's milk.
bottle feeding in the nursing interventions classification, a nursing intervention defined as preparation and administration of fluids to an infant via a bottle.
breast feeding breastfeeding.
enteral tube feeding in the nursing interventions classification, a nursing intervention defined as delivering nutrients and water through a gastrointestinal tube.
forced feeding administration of food by force to those who cannot or will not receive it.
intravenous feeding administration of nutrient fluids through a vein; see also intravenous infusion and parenteral nutrition.
feeding procedures in the omaha system, any method of giving food or fluid, including breast, formula, intravenous, or tube.
supplemental feeding a planned additional food or nutrient that is added to the usual diet, often as a powder, formula, or tablet.
tube feeding see tube feeding.

tube

 [to̳b]
a hollow cylindrical organ or instrument. adj., adj tu´bal.
auditory tube eustachian tube.
Blakemore-Sengstaken tube Sengstaken-Blakemore tube.
chest tube see chest tube.
Dobhoff tube a small-lumen feeding tube that can be advanced into the duodenum.
drainage tube a tube used in surgery to facilitate escape of fluids.
Drieling tube a double-lumen tube having a metal weight at one end to carry it past the stomach into the duodenum. At the other end are two tails, one used to collect gastric specimens and the other to collect specimens from the duodenum. The tube is used in the secretin test for pancreatic exocrine function.
Durham's tube a jointed tracheostomy tube.
endobronchial tube a single- or double-lumen tube inserted into the bronchus of one lung and sealed with an inflatable cuff, permitting ventilation of the intubated lung and complete deflation of the other lung; used in anesthesia and thoracic surgery.
endotracheal tube see endotracheal tube.
esophageal tube stomach tube.
eustachian tube see eustachian tube.
Ewald tube a large lumen tube used in gastric lavage.
fallopian tube see fallopian tube.
feeding tube one for introducing high-caloric fluids into the stomach; see also tube feeding.
tube feeding a means of providing nutrition via a feeding tube inserted into the gastrointestinal tract; it may be done to maintain nutritional status over a period of time or as a treatment for malnutrition. It can be used as the only source of nutrition or as a supplement to oral feeding or parenteral nutrition.

Patients who may require tube feeding include those unable to take in an adequate supply of nutrients by mouth because of the side effects of chemotherapy or radiation therapy, those with depression or some other psychiatric disorder, and those suffering from severe hypermetabolic states such as burns or sepsis, or malabsorption syndromes. Other conditions that may require tube feeding include surgery or trauma to the oropharynx, esophageal fistula, and impaired swallowing such as that which occurs following stroke or that related to neuromuscular paralysis.

There are commercially prepared formulas for tube feeding. Some contain all six necessary nutrients (carbohydrates, fats, proteins, vitamins, minerals, and trace elements) and need no supplement as long as they are given in sufficient volume to meet nutritional and caloric needs. Other types of tube feeding formulas are incomplete and therefore will require some supplementation. Choice of formula is based on the patient's particular needs, presence of organ failure or metabolic aberration, lactose tolerance, gastrointestinal function, and how and where the feeding is to be given, that is, via nasogastric, gastrostomy, or enterostomy tube.
Patient Care. In addition to frequent and periodic checking for tube placement and monitoring of gastric residuals to prevent aspiration, other maintenance activities include monitoring effectiveness of the feeding and assessing the patient's tolerance to the tube and the feeding. Special mouth care is essential to maintain a healthy oral mucosa. A summary of the complications related to tube feeding, their causes and contributing factors, and interventions to treat or prevent each complication is presented in the accompanying table.
fermentation tube a U-shaped tube with one end closed, for determining gas production by bacteria.
Levin tube a gastroduodenal catheter of sufficiently small caliber to permit transnasal passage; see illustration.
Two types of nasogastric tubes. From Ignatavicius et al., 1995.
Linton tube a triple-lumen tube with a single balloon used to control hemorrhage from esophageal varices. Once it is positioned under fluoroscopic control and inflated, the balloon exerts pressure against the submucosal venous network at the cardioesophageal junction, thus restricting the flow of blood to the esophageal varices.
Miller-Abbott tube see miller-abbott tube.
Minnesota tube a tube with four lumens, used in treatment of esophageal varices; having a lumen for aspiration of esophageal secretions is its major difference from the sengstaken-blakemore tube.
nasogastric tube see nasogastric tube.
nasotracheal tube an endotracheal tube that passes through the nose.
neural tube the epithelial tube produced by folding of the neural plate in the early embryo.
orotracheal tube an endotracheal tube that passes through the mouth.
otopharyngeal tube eustachian tube.
Rehfuss tube a single-lumen oral tube used to obtain specimens of biliary secretions for diagnostic study; it is weighted on one end so that it can be passed through the mouth and positioned at the point where the bile duct empties into the duodenum. See also biliary drainage test.
Salem sump tube a double-lumen nasogastric tube used for suction and irrigation of the stomach. One lumen is attached to suction for the drainage of gastric contents and the second lumen is an air vent. See illustration.
Sengstaken-Blakemore tube see sengstaken-blakemore tube.
stomach tube see stomach tube.
T-tube one shaped like the letter T and inserted into the biliary tract to allow for drainage of bile; it is generally left in place for 10 days or more in order to develop a tract through which bile can drain after the tube is removed. A T-tube cholangiogram is usually performed prior to removal of the tube in order to determine that the common duct is patent and free of stones. If stones are found they can be removed through the tube tract by instruments inserted under x-ray guidance.
test tube a tube of thin glass, closed at one end; used in chemical tests and other laboratory procedures.
thoracostomy tube a tube inserted through an opening in the chest wall, for application of suction to the pleural cavity; used to drain fluid or blood or to reexpand the lung in pneumothorax. See also chest tube.
tracheal tube endotracheal tube.
tracheostomy tube a curved endotracheal tube that is inserted into the trachea through a tracheostomy; see discussion under tracheostomy.
tympanostomy tube ventilation tube.
uterine tube fallopian tube.
ventilation tube a tube inserted after myringotomy in chronic cases of middle ear effusion, such as in secretory or mucoid otitis media; it provides ventilation and drainage for the middle ear during healing, and is eventually extruded. Called also tympanostomy tube.
Tympanostomy (ventilation) tube. Polyethylene tubes are inserted surgically into the eardrum to relieve middle ear pressure and promote drainage of chronic or recurrent middle ear infections. Tubes extrude spontaneously in 6 months to 1 year. From Jarvis, 1996.
Wangensteen tube a small nasogastric tube connected with a special suction apparatus to maintain gastric and duodenal decompression.
Whelan-Moss T-tube a t-tube whose crossbar tube is larger in diameter than the drainage tube.
x-ray tube a glass vacuum bulb containing two electrodes; electrons are obtained either from gas in the tube or from a heated cathode. When suitable potential is applied, electrons travel at high velocity from cathode to anode, where they are suddenly arrested, giving rise to x-rays.

tube feeding

the administration of nutritionally balanced liquefied foods or nutrients through a tube inserted into the esophagus, stomach, duodenum, or jejunum. The conditions for which tube feeding is administered include after mouth or gastric surgery, in severe burns, in paralysis or obstruction of the esophagus, in severe cases of anorexia nervosa, and for unconscious patients or those unable to chew or swallow. Also called esophageal feeding, gavage feeding, jejunostomy feeding, nasogastric feeding. See also drip gavage, enteral tube feeding.

tube feed·ing

(tūb fēd'ing)
Administering nutrition or other fluids by means of a tube inserted directly into the enteral tract. This method of administration is used when a patient is unable to swallow.

tube feed·ing

(tūb fēd'ing)
Administering nutrition or other fluids by means of a tube inserted directly into the enteral tract. This method of administration is used when a patient is unable to swallow.

feeding

the taking or giving of food.

animal feeding unit
(AFO) see AFO/CAFO.
artificial feeding
feeding of a neonate with food other than its dam's milk.
feeding behavior
difficulty in prehension, quidding, regurgitation through the nostrils, coughing and aspiration are all abnormalities of feeding behavior of clinical importance.
challenge feeding
animals are fed more feed than their present production or growth justifies in an attempt to elicit higher production still.
enteral feeding
see enteral feeding.
force feeding
administration of food by force to animals who cannot or will not receive it, e.g. anorexic animals or weak neonates.
intravenous feeding
administration of nutrient fluids through a vein. See also intravenous infusion.
lead feeding
see challenge feeding (above).
limit feeding
occurs where grower finisher pigs are fed a specific amount of food in a specific time period versus free access to feed. Limit feeding is common in Europe but not in the United States, except for gestating sows.
feeding module
a concentrated source of one type of nutrient, e.g. carbohydrate, fat or protein.
orphan feeding
diets for newborn animals which have lost their dams; milk replacers.
feeding pattern
1. the procedure adopted by an animal while eating a meal. May consist of eating concentrates before roughage. Includes nibbling, gorging and sham feeding. See also feeding behavior (above).
2. the program of feeding adopted by the animal's custodian. Includes single, large meals, frequent, small snacks.
pellet feeding
the ration is converted into pellets, logs or bricks. Has the advantage of reducing wastage and facilitating feeding especially with automatic feeders. There is the additional cost of manufacturing.
restricted feeding
used in times of shortage, e.g. during a drought or as a management tool to modify the carcass, especially its fat content, or the milk yield at drying off. Restraint in feeding for animals that receive only stored feeds is simple. There are difficulties in animals that are at pasture or in feedlots on self-feeders. For pastured animals strip grazing is the accepted strategy. In feedlots it is customary to add a feed-aversion agent such as salt or flowers of sulfur to grain ration.
silo feeding
feed stored in a silo is augered out to surrounding troughs. May be grain or ensilage.
feeding trial
assessment of the performance of a particular feed, determined by any of several parameters, e.g. body weight (loss or gain), digestibility, growth rate, palatability, of the feed being fed over a set period of time.
tube feeding
feeding of liquids and semisolid foods through an esophageal or gastric tube.
References in periodicals archive ?
Enteral tube feeding administration can be accomplished by one of several different feeding schedules.
While there is questionable evidence to support the use of gastric residuals as a measure of tube feeding tolerance, they are still used inappropriately as rationale for stopping feeds (Parrish & McClave, 2008; Zaloga, 2005).
In a 6-0 decision, the California Supreme Court ruled that a patient's tube feedings could not be discontinued under the circumstances of the Wendland v.
Another denial of payment for tube feeding occurred for a resident who was covered for 100 days and then discharged home on day 101.
Jasmine's mum Claire said: "Jasmine undergoes dialysis and tube feeding every night and as long as Treacle is by her side, she sleeps though it all.
After a cat is released from the hospital, tube feeding will continue at home for an average of eight weeks.
The girl, who has been depending on a nasal tube feeding system, had been granted leave to seek a judicial review in October.
Tube feeding commonly is used to prevent aspiration pneumonia and provide nutrition in patients who have trouble eating normally.
Strong evidence indicates that most critically ill tube-fed patients receiving mechanical ventilation aspirate gastric contents at least once during their early days of tube feeding.
The journey children make from tube feeding to oral feeding is personal for each child and family.