Under which of the following circumstances would enteral feeding not be safe?
A. when a patient is taking dopamine
B. when a patient is receiving corticosteroids
C. when a patient is receiving IV fluids
D. when a patient is receiving mechanical ventilation
?ANS: A ?A. Correct response: At times, enteral feeding may not be safe for the gut to absorb luminal nutrients. Such times occur when the patient is hypotensive and receiving pressor agents, such as norepinephrine, dopamine, and dobutamine. Feeding through the enteral route in these circumstances may promote a shift of blood flow to the splanchnic circulation and may provoke further deterioration into shock. Waiting until these patients are no longer taking these medications may be appropriate before enteral feeding is performed.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A.
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