A patient, with a history of aspiration pneumonia, is going to receive enteral feedings. Which of the following should be considered regarding the tube and placement for this patient?
1. Gastric feedings provide more calories and better tolerance.
2. Postpyloric feedings need to be interrupted and would not support the patient's nutritional needs.
3. Gastric feedings are ideal as long as the patient is receiving a proton pump inhibitor.
4. Postpyloric feedings have less incidence of aspiration pneumonia and would be preferred for this patient.
4
Rationale: Because it is documented that postpyloric feedings can be provided with less interruption and a higher nutritional intake, there is a lower incidence of pneumonia in some patients. This should be considered during the tube and placement for the patient. Gastric feedings are usually interrupted and would not necessarily provide more calories for the patient. Postpyloric feedings do not need to be interrupted as much. Proton pump inhibitors change the stomach pH and do not support the stomach's ability to fight bacteria.
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