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Nutrition
TUBE FEEDING INTOLERANCE

TUBE FEEDING INTOLERANCE
TROUBLESHOOTING GUIDE
Constipation

Check for:

Fecal Impaction/Constipation ❯

POSSIBLE SOLUTIONS

Assess abdomen; disimpact as needed using enemas; monitor stool frequency and consistency3

Inactivity ❯

POSSIBLE SOLUTIONS

If possible, encourage activity/ambulation3

Formula characteristics, dehydration ❯

POSSIBLE SOLUTIONS

Evaluate fibre intake (inadequate fibre) and fluid intake (concentrated formulas or containing fibres may increase water intake needs).3 Consider a formula with fibre4,5

Peptamen

References

  1. Yi D. PGHN, 2018, 21(1):12-19.
  2. Bernard AC, et al. NCP 2004: 19: 481-486.
  3. Boullata J, Carney LN, Guenter P (Eds). ASPEN EN Handbook, 2010.
  4. Rao T et al. Nutrition, 2019, 59: 158-169.
  5. Romano C et al. JPGN, 2017, 65(2): 242-264.
  6. Bankhead R et al. JPEN 2009; 33(2): 122-167.
  7. Fried MD et al. J Pediatr 1992;120: 569–72.
  8. Khoshoo Vet al. Eur J Clin Nutr. 2002, 56: 1-3.
  9. Dangin M. et al. J of Nutr 2002; S3228-3233.
  10. Langmore SE et al Dysphagia, 2002, 17: 298-307.
  11. McClave SA et al. JPEN 2009; 33(3): 277-316.
  12. Btaiche IF et al. NCP 2010, 25(1):32-49.