1. Enteral Feeding
Enteral tube feeding is a method of maintaining or improving
nutritional status in patients unable to take sufficient nutrition
orally
 Enteral Nutrition is preferred over parenteral
nutrition because it is safer for the patient and
has shown less risk of infection
 Enteral feeding products are supplied in ready
to hang (RTH) bottles
 Feeding tubes require routine flushing of water
to maintain tube patency and provide
adequate hydration

2. Enteral Feeding (continued)
 The RTH bottles are used with the Kendall
Proximal Spike Pump Set with 1000 ml Flush Bag
 Tubing and supplemental feeding products are
changed q 24 hours
• If feeding set is disconnected from feeding tube for a prolonged
time, cover adapter with provided adapter cover to reduce risk of
touch contamination
• Bolus feedings and flushes may be programmed through the
Kangaroo ePump
• Check residual every 4-6 hours when continuous feedings are in
use
• Residual volumes in excess of 200 mls will be discarded and
concern for the intolerance of feedings will be reported to the MD

3. Enteral Feeding (continued)
 If unable to use the RTH bottles,
cans may be used
 The cans are used with the Kendall
1000ml pump set with 1000ml flush
bag
 Only pour enough feeding into bag
to last 8 hours
 Tubing is changed every 24 hours

4. Enteral Feeding (continued)
 Kangaroo ePump may be programmed for
continuous or intermittent feedings
 When programming bolus feedings, the screen
selection will show “Adjust Bolus” rather than
“Adjust Feed”
 To change to this mode, select MORE from the
main selection screen and select Intermittent
 Push “Done” two times with a small pause between
 When the screen returns to the primary screen, it
should read “Adjust Bolus”
 Select “Adjust Bolus” and enter settings