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 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.
References in periodicals archive ?
With artificial nutrition witnessing significant changes and improvements, in terms of usage and adoption, there is a paradigm shift to enteral nutrition (EN) with tube feeding from parenteral nutrition (PN).
According to U Deliver Medical, the bFed System is an innovative tube feeding delivery system that makes it easier for home tube feeders and their caregivers deliver any form of nutrition they choose.
Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke?
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).
(1) The parties now tend to reverse their positions, with some families insisting on continuing all treatment modalities, especially artificial nutrition and hydration such as tube feedings. Medical futility has been variously defined as an intervention that has no pathophysiologic rationale, where such intervention had already failed in the patient, where maximal treatment is already failing, or where the intervention will not achieve the goals of care.
frequent vomiting and/or wheezing after oral or tube feeding and therefore were suspected of having GER.
The news left the families "terrified" without the one day a week for four weeks vital respite, but staff at the school have been retrained on tube feeding so they can now attend.
But tube feeding can also cause complications, including liver problems.
(4-7) Although aspiration is the most feared potential risk for enteral tube feeding, there is no guarantee that low residual volumes (RV) are without risk for aspiration, and high RVs do not necessarily predict aspiration.
A program in which individuals used a standardized form signed by a physician to communicate their end-of-life care preferences on issues such as levels of medical intervention and tube feeding lead to significantly better adherence to treatment preferences than more traditional methods of communication, according to a new study.