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Tube Feeding for Different Diseases 不同疾病的管灌原則

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Tube Feeding for Different Diseases 不同疾病的管灌原則

2024/1/15

Different diseases require different tube feeding formulas, which should be based on the patient's condition. Therefore, the dietitian will visit the patient regularly and make adjustments according to the patient's condition after discussion with the attending physician.

  • Kidney failure without dialysis - low protein formulations; if the blood biochemical value is high, they should be given low phosphorus, low potassium or low sodium formulations; if they have edema or excessive volume of body fluid, they should limit their water and salt intake.
  • Kidney failure with dialysis, acute renal injury or acute renal failure -high protein formulas, low phosphorus, low potassium or low sodium formulas, with water intake limited.
  • Chronic obstructive pulmonary disease, respiratory failure - high fat and low carbohydrate formulas. Limit water intake if you are susceptible to asthma.
  • Diabetes or hyperglycemia due to stress - low carbohydrate and high fiber formulas.
  • Severe steatorrhea and refractory diarrhea caused by short bowel syndrome, small intestinal amputation, chronic inflammatory bowel disease, pancreatic insufficiency, tinea and bile deficiency - predigested and elemental formulas.
  • Steatorrhea, pancreatitis, cholecystitis, biliary obstruction - low fat formulations + MCT Oil.
  • Hepatic encephalopathy - High branched-chain amino acid formulations with proper amounts of protein.
  • Milk protein allergy - soy protein formulations.
Reference
  • McClave, S. A., Taylor, B. E., Martindale, R. G., Warren, M. M., Johnson, D. R., Braunschweig, C., McCarthy, M. S., Davanos, E., Rice, T. W., Cresci, G. A., Gervasio, J. M., Sacks, G. S., Roberts, P. R., Compher, C., Society of Critical Care Medicine, & American Society for Parenteral and Enteral Nutrition (2016). Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN. Journal of parenteral and enteral nutrition40(2), 159–211. https://doi.org/10.1177/0148607115621863
製作單位:臨床營養科 編碼:HE-8C014-1-E
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