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Transcript
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)