Long-term enteral nutrition support and the risk of dehydration

Roland Dickerson, Rex Brown

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Dehydration is a serious risk for the long-term tube-fed patient who is not allowed oral intake, has an altered mental status, is unable to communicate, is elderly or fluid-restricted, or has thirst impairment. The intent of this review is to provide a case-based discussion regarding the evaluation, treatment, and prevention of dehydration in these types of patients. Identification of risk factors, along with evaluation of subjective, objective, and laboratory parameters, provides the basis for clinical evaluation. "Hidden" sources of fluid intake such as the water content of solid foods and water generated from nutrient oxidation and "hidden" sources of fluid output such as evaporative losses should be considered in water-balance calculations. The method for treatment and prevention of dehydration depends on the presence or absence of hypovolemia, type of body fluid losses, and whether the patient demonstrates hypernatremia, normonatremia, or hyponatremia.

Original languageEnglish (US)
Pages (from-to)646-653
Number of pages8
JournalNutrition in Clinical Practice
Volume20
Issue number6
DOIs
StatePublished - Jan 1 2005

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Enteral Nutrition
Dehydration
Water
Hypernatremia
Thirst
Food
Hypovolemia
Hyponatremia
Body Fluids
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Long-term enteral nutrition support and the risk of dehydration. / Dickerson, Roland; Brown, Rex.

In: Nutrition in Clinical Practice, Vol. 20, No. 6, 01.01.2005, p. 646-653.

Research output: Contribution to journalReview article

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