Fundamentals of Nursing Q 526
Continuous type of feedings is administered over a __ hour period?
A. 4.
B. 12.
C. 24.
D. 36.
Correct Answer: C. 24.
Continuous feeding is administered for 24 hours. An infusion pump regulates the flow. Continuous drip feeding is delivered by either gravity drip or infusion pump. The infusion pump is a better method of delivery than gravity drip. The flow rate of gravity drip may be inconsistent and, therefore, needs to be checked frequently.
Option A: When feedings are delivered continuously, stool output is reduced, a consideration for the child with chronic diarrhea. Continuous infusions of elemental formula have been successful in managing infants with short bowel syndrome, intractable diarrhea, necrotizing enterocolitis, and Crohn’s disease.
Option B: Commonly, it is used for 8 to 10 hours during the night for volume-sensitive patients so that smaller bolus feedings or oral feeding may be used during the day. Continuous feeding can be administered at night, so it will not interfere with daytime activities. Continuous feeding increases energy efficiency, allowing more calories to be used for growth. This can be important for severely malnourished children.
Option D: Continuous drip-feeding may be delivered without interruption for an unlimited period of time each day. Feeding around the clock is not recommended as this limits a child’s mobility and may elevate insulin levels contributing to hypoglycemia.