A patient who undergoes jejunostomy enteral feedings may develop complications, especially during high infusion rates. Jones et al graded clinical symptoms that developed during the course of the feedings. The authors are from Denver General Hospital.
Clinical findings:
(1) nausea
(2) cramping
(3) abdominal distention (on visual inspection and abdominal palpation)
(4) vomiting
(5) diarrhea (loose and watery stool)
|
Parameter |
Finding |
Grade |
|
nausea |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
cramping |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
abdominal distention |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
vomiting |
none |
0 |
|
|
1-2 times per day |
1 |
|
|
3-4 times per day |
2 |
|
|
> 4 times per day |
3 |
|
diarrhea |
none |
0 |
|
|
1-2 times per day |
1 |
|
|
3-4 times per day |
2 |
|
|
> 4 times per day |
3 |
If Grade 2-3 symptoms developed, then the infusion rate and/or concentration were decreased until tolerated.
If Grade 2-3 diarrhea occurs, then a paragoric elixir is added to the enteral diet until the stool consistency has improved.
If Grade 2-3 vomiting occurs, then elevate the head of bed, turn on side and suction if aspiration suspected.
Specialty: Nutrition, Gastroenterology, Critical Care
ICD-10: ,
