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Due February 19, 2015 Key Concept # 8 Chapter 120: ENTERAL NUTRITION Gut Host Defense Mechanism: Read page 2429 1. Nutrients delivered into the GI tract help maintain intestinal mucosa and the GALT? True or False? Conditionally Essential Amino Acids Read page2434: 2. Glutamine_and __Arginine__are 2 non-essential amino acids but during physiologic stress, they become deficient and are considered “conditionally” essential. Key Concept # 8 Drug Delivery via Feeding Tubes: Read page 2440-1 3. Which of the following types of medication can be crushed and administered through a feeding tube? a. sublingual forms b. sustained-release capsules c. sustained-release tablets d. pellets contained in a micro-encapsulated dosage form e. enteric coated tablets f. all the above can g. none of the above can 4. A nurse calls you in the pharmacy and asks how much water should she flush the feeding tube with after she gives the 10mg of prednisone? ___15-30_________ml 5. Another nurse calls you with a great idea. She asks you if she can crush and dissolve all of her 9AM medications (Vitamin C 500mg, Metoprolol XL 50mg, Lisinopril 10mg, Hydralazine 50mg, Amlodipine 5mg, Acetaminophen 650mg, Prevacid 15mg, Theragram, and Senna Syrup.) together and then pour them into the enteral nutrition feeding bag. Is this a great idea? Why or why not _NO! There is a high likelyhood of clogging the FT. Prevacid is a NO-crush tablet, Metoprolol XL is extended release, Vitamin C is acidic and will curdle the protein. Bolus each medication seperately, change XL to regular release and change Prevacid to a dissolving PPI (ie omeprazole with bicarb)