A 17-year-old patient involved in an automobile accident is paralyzed with multiple peripheral extremity injuries. Nutritional support is instituted with a transnasal feeding catheter. Which of the following statement(s) is/are true concerning the patient’s management?
A. Feeding into the stomach results in stimulation of the biliary/pancreatic axis which is probably trophic for small bowel
B. Gastric secretions will dilute the feedings increasing the risk of diarrhea
C. The major risk in this patient is tracheobronchial aspiration
D. Placement of the feeding catheter through the pylorus into the first portion of the duodenum reduces the risk of regurgitation and aspiration
Answer:A
A 17-year-old patient involved in an automobile accident is paralyzed with multiple peripheral extremity injuries. Nutritional support is instituted with a transnasal feeding catheter. Which of the following statement(s) is/are true concerning the patient’s management?
A. Feeding into the stomach results in stimulation of the biliary/pancreatic axis which is probably trophic for small bowel B. Gastric secretions will dilute the feedings increasing the risk of diarrhea C. The major risk in this patient is tracheobronchial aspiration D. Placement of the feeding catheter through the pylorus into the first portion of the duodenum reduces the risk of regurgitation and aspiration