INTENSIVIST Volume 11, Issue 2 (April 2019)

Troubleshooting nutritional therapy Hiroomi TATSUMI 1 1Department of Intensive Care Medicine Sapporo Medical University School of Medicine pp.335-345
Published Date 2019/4/1
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The effectiveness of enteral nutrition can be followed by the occurrence of gastrointestinal symptoms such as vomiting and diarrhea. Since gastrointestinal tract symptoms tend to occur more frequently as the intestinal tract is unused for a longer time, enteral nutrition should be started as soon as possible. Enteral nutrition usually commences at a slow rate and gradually increases. Patients with vomiting can be treated initially with measures such as raising the head of the bed, changing to continuous administration, administration of a gastrointestinal peristaltic agent, and changing from gastric feedings to jejunal feedings (postpyloric). Patients who develop diarrhea must be evaluated to exclude other causes of diarrhea. After this evaluation, the diarrhea may be relieved by changing to continuous administration, changing from jejunal feedings to gastric feedings, administration / adjustment of medications, change of nutrition formula, and semi-solidification. One of the most successful approaches is for enteral nutrition to continue as long as possible without interruption, even if gastrointestinal symptoms occur.

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11巻2号 (2019年4月)
電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル