Evaluation of Extended‐Release Pancreatic Enzyme to Dissolve a Clog

Arriola, Trisha Anne D.; Hatashima, Alycia; Klang, Mark

doi:10.1177/0884533610382785

Cited by 7 publications

(14 citation statements)

References 1 publication

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“…Pancreatic enzymes have been documented as effective agents in clearing feeding obstructions caused by enteral formulas 2 , 6 , 23 . While enteric‐coated and extended‐release pancreatic enzyme products are available, they are not as effective for dissolving obstructions in feeding tubes 23 , 24 . Klang 6 evaluated the removal of the enteric coating to release the pancreatic enzymes for the purpose of unclogging feeding tubes.…”

Section: Section 7 Administration: Ead Patencymentioning

confidence: 99%

“…The findings show that pancreatic enzymes in enteric‐coated products can be released and that these pancreatic enzymes can disrupt clogs. If the clog is of considerable size, warm water is still the first choice to allow for the passage of fluid 23 . Another study evaluated the effectiveness of alkalinized Creon delayed‐release pancreatic enzyme protocol to clear occluded feeding tubes.…”

Section: Section 7 Administration: Ead Patencymentioning

confidence: 99%

See 1 more Smart Citation

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

Self Cite

330

531

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Enteral nutrition (EN) is a valuable clinical intervention for patients of all ages in a variety of care settings. Along with its many outcome benefits come the potential for adverse effects. These safety issues are the result of clinical complications and of process-related errors. The latter can occur at any step from patient assessment, prescribing, and order review, to product selection, labeling, and administration. To maximize the benefits of EN while minimizing adverse events requires that a systematic approach of care be in place. This includes open communication, standardization, and incorporation of best practices into the EN process. This document provides recommendations based on the available evidence and expert consensus for safe practices, across each step of the process, for all those involved in caring for patients receiving EN.

show abstract

Section: Section 7 Administration: Ead Patencymentioning

confidence: 99%

Section: Section 7 Administration: Ead Patencymentioning

confidence: 99%

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

Self Cite

330

531

View full text Add to dashboard Cite

show abstract

“…Initially an attachment of a water‐filled syringe and plunger movement back and forth can be used to help loosen up a clog and encourage clog withdrawal from the tube's lumen . If it does not clear, water penetration may be initiated while supplies are gathered for the selected tube declogging procedure. Pancreatic enzymes activated with baking soda and water have been shown to dissolve clogs more effectively compared with solutions such as sugared sodas, cranberry juice, or meat tenderizer .…”

Section: Tube Decloggingmentioning

confidence: 99%

Enteral Access Devices: Types, Function, Care, and Challenges

Lord

2018

Nut in Clin Prac

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Enteral access feeding devices are placed in patients who have a functional and accessible gastrointestinal (GI) tract but are not able to consume or absorb enough nutrients to sustain adequate nutrition and hydration. For many individuals, enteral nutrition support is a lifesaving modality to prevent or treat a depleted nutrient state that can lead to tissue breakdown, compromised immune function, and poor wound healing. Psychological well-being is also affected with malnutrition and dehydration, triggering feelings of apathy, depression, fatigue, and loss of morale, negatively impacting a patient's ability for self-care. A variety of existing devices can be placed through the nares, mouth, stomach or small intestine to provide liquid nutrition, fluids, and medications directly to the GI tract. If indicated, some of the larger-bore devices may be used for gastric decompression and drainage. These enteral access devices need to be cared for properly to avert patient discomfort, mechanical device-related complications, and interruptions in the delivery of needed nutrients, hydration, and medications. Clinicians who seek knowledge about enteral access devices and actively participate in the selection and care of these devices will be an invaluable resource to any healthcare team. This article will review the types, care, proper positioning, and replacement schedules of the various enteral access devices, along with the prevention and troubleshooting of potential problems.

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“…If the clog is not cleared within 30 minutes, the solution should be removed from the tube and replaced with a fresh mixture. Cranberry juice and carbonated beverages may worsen occlusions because of the acidic pH of these fluids …”

Section: Myths/unfounded Practices and Evidence For Appropriate Practicementioning

confidence: 99%

Dispelling Myths and Unfounded Practices About Enteral Nutrition

et al. 2020

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Many protocols and steps in the process of enteral nutrition (EN) use are not overly supported with strong research and have been done the same way over many years without questioning the use of best‐practices evidence. This article reports many of the myths and unfounded practices surrounding EN and attempts to refute those myths with current evidence. These practices include those about enteral access devices, formulas, enteral administration, and complications.

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Evaluation of Extended‐Release Pancreatic Enzyme to Dissolve a Clog

Cited by 7 publications

References 1 publication

ASPEN Safe Practices for Enteral Nutrition Therapy

ASPEN Safe Practices for Enteral Nutrition Therapy

Enteral Access Devices: Types, Function, Care, and Challenges

Dispelling Myths and Unfounded Practices About Enteral Nutrition

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