Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit
HCPCS code
Name of the Procedure:
Enteral Formula Administration
Common name: Enteral feeding
Technical term: B4159 - Enteral formula, for pediatrics, nutritionally complete soy-based
Summary
Enteral feeding is a method to deliver a specially formulated liquid that provides complete nutrition directly into a child's stomach or small intestine through a feeding tube. The formula used is soy-based and includes all necessary nutrients, such as proteins, fats, carbohydrates, vitamins, and minerals, to support growth and development in children.
Purpose
Supports children who cannot consume food orally due to medical conditions. Ensures the child receives adequate nutrition to promote growth, maintain an appropriate weight, and improve overall health.
Indications
- Inability to eat or drink orally
- Severe nutritional deficiencies
- Gastrointestinal disorders
- Neurological conditions affecting the ability to swallow
- Chronic illnesses requiring nutritional support
Preparation
- Ensure the feeding tube is placed and functioning correctly
- Follow any specific instructions from the healthcare provider related to fasting or medication adjustments
- Conduct necessary assessments, such as weight measurements and blood tests
Procedure Description
- Prepare the enteral formula according to the prescribed amount.
- Connect the formula to the feeding tube.
- Verify the tube's position according to healthcare guidelines.
- Administer the formula slowly using a gravity drip or feeding pump.
- Monitor the child during and after feeding for tolerance and potential issues.
Tools used:
- Enteral feeding tube
- Pump or gravity drip system
- Syringes for flushing the tube
Duration
The administration time varies but generally takes 20 to 60 minutes per feeding session. Frequency and duration are determined by a healthcare provider.
Setting
Can be performed in a hospital setting, outpatient clinic, or at home, depending on the child's needs and caregiver's training.
Personnel
- Nurses or trained caregivers
- Pediatricians or gastroenterologists for oversight
- Dietitians for nutritional guidance
Risks and Complications
- Tube dislodgement or blockage
- Gastrointestinal discomfort, such as nausea, diarrhea, or constipation
- Potential infections at the tube insertion site
- Allergic reactions to the formula
Benefits
- Ensures complete nutritional intake
- Supports appropriate growth and development
- Reduces the risk of malnutrition-related complications Benefits are usually noticeable within a few weeks of consistent use.
Recovery
No recovery required from the feeding itself, but maintain:
- Regular tube care and site monitoring
- Scheduled follow-up appointments
- Adherence to dietary and care plans provided by healthcare professionals
Alternatives
- Oral nutritional supplements (if partially able to consume orally)
- Parenteral nutrition (if gastrointestinal tract is non-functional)
- Alternative feeding methods based on specific medical recommendations
Patient Experience
- Minimal discomfort once accustomed to the feeding tube
- Regular monitoring ensures prompt management of any issues
- Psychological support may be necessary to help the child and family adapt to the feeding regimen
Pain management involves ensuring proper tube placement and providing comfort measures during feeding.