Saint Louis University

 Saint Louis University
 School of Nursing
 
 Room 318
 314-977-8941 (office)
 314-977-8949 (fax)
 
methenna@slu.edu

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Teaching: Dr. Metheny joined the Saint Louis University School of Nursing in 1979 and currently teaches an elective course in fluid and electrolyte balance.

Practice: Dr. Metheny's background is in adult medical-surgical nursing. She has authored multiple textbooks on fluid and electrolyte balance and is considered a content expert in this area of nursing practice.

Research and Scholarly Activites: Dr. Metheny's research focus is reducing risk associated with tube feedings. Please see sections below for a list of funded studies and examples of publications from her program of research.

Education:

  • PhD: Education, Saint Louis University 
  • MSN: Medical-Surgical Nursing, Washington University 
  • BSN: Nursing, Southern Illinois University
  • Diploma: Alton Memorial Hospital School of Nursing

Selected National/International Awards:

  • Sigma Theta Tau International Nurse Researcher Hall of Fame
  • GE Healthcare-American Association of Critical Care Nurses Pioneering Spirit Award
  • Distinguished Research Lecturer, American Association of Critical Care Nurses
  • Distinguished Nutrition Support Nurse, American Society for Parenteral & Enteral Nutrition

Publications (31 from 110):

  • Metheny NA & Meert KL: Efficacy of an electromagnetic feeding tube placement device in detecting inadvertent respiratory placement: A review of the evidence. American Journal of Critical Care. 23(3): 240-8, 2014 May
  • Metheny NA & Meert KL: A review of published case reports of inadvertent pulmonary placement of nasogastric tubes in children. Journal of Pediatric Nursing. 29(1):e7-e12, 2014 
  • Metheny NA & Frantz RA: Head-of-bed elevation in critically ill patients: A review. Critical Care Nurse. 33(3):53-67, 2013 
  • Metheny NA, Mills AC, Stewart BJ: Monitoring for intolerance to gastric tube feedings: a national survey. American Journal of Critical Care. 21(2):e33-40, 2012 
  • Metheny NA, Stewart BJ, McClave SA: Relationship between feeding tube site and respiratory outcomes. Journal of Parenteral & Enteral Nutrition. 35(3):346-55, 2011
  • Metheny NA, Jackson J, Stewart BJ: Effectiveness of an aspiration risk-reduction protocol. Nursing Research. 59(1)18-25, 2010
  • Bankhead R, Boullata J, Brantley S, Corkins M, Guenter P, Krenitsky J, Lyman B, Metheny NA, Muller C, Robbins S, Wessel J & A.S.P.E.N. Board of Directors: ASPEN Enteral Nutrition Practice Recommendations. Journal of Parenteral & Enteral Nutrition. Vol 33, No. 2, 122-166, 2009
  • Metheny NA, Schallom L, Oliver DA, Clouse RE: Gastric residual volume and aspiration in critically ill patients receiving gastric feedings. American Journal of Critical Care. 17:512-519, 2008
  • Metheny NA, Meert KL, Clouse RE: Complications related to feeding tube placement. Current Opinion in Gastroenterology. 23(2)178-182, 2007
  • Metheny NA: Strategies to prevent aspiration pneumonia in tube-fed patients. Respiratory Care Clinics of North America. 12:603-617, 2006
  • Metheny NA, Clouse RE, Chang YH, Stewart BJ, Oliver DA & Kollef M: Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: Frequency, outcomes and risk factors. Critical Care Medicine. 34(4)1007-1015, 2006
  • Meert KL, Daphtary K, Metheny NA: Gastric versus small bowel feeding in mechanically ventilated critically ill children: a randomized controlled trial. CHEST. 126(3) 872-8, 2004
  • Metheny NA, Dahms T, Chang Y, Stewart BJ, Frank P, Clouse RE: Detection of pepsin in tracheal secretions following three forced small-volume aspirations of gastric juice. Journal of Parenteral & Enteral Nutrition. 28(2):79-84, 2004 
  • Metheny NA: Risk factors for aspiration. Journal of Parenteral & Enteral Nutrition. 26(6)S26-33, 2002 
  • McClave S, DeMeo M, DeLegge M, DiSario J, Heyland D, Maloney J, Metheny NA, Moore F, Scolapio J, Spain D, Zaloga G: North American Summit on Aspiration in the Critically Ill Patient. Consensus conference on aspiration. Journal of Parenteral & Enteral Nutrition 26(6)S80-85, 2002
  • Metheny NA: Inadvertent intracranial placement of a nasogastric tube following transnasal transsphenoidal surgery: A case report. American Journal of Nursing. 102(8)25-27, 2002
  • Metheny NA, Dahms T, Stewart B, Stone K, Edwards S, Defer J, Clouse RE: Efficacy of dye-stained enteral formula in detecting pulmonary aspiration. CHEST 122:276-281, 2002 
  • Meert K, Daphtary K, Metheny NA: Detection of pepsin and glucose in tracheal secretions as indicators of aspiration in mechanically ventilated children. Pediatric Critical Care Medicine 3(1)19-22, 2002
  • Metheny NA, Smith L, Stewart BJ: Development of a reliable and valid bedside test for bilirubin and its utility in predicting feeding tube location. Nursing Research 49(6)302-309, 2000
  • Gharpure V, Meert KL, Sarnaik A, Metheny NA: Indicators of post-pyloric feeding tube placement Critical Care Medicine 28(8)2962-2966, 2000 
  • Metheny NA, Stewart B, Smith L, Yan H, Diebold M, Clouse R: pH and concentration of bilirubin in feeding tube aspirates as predictors of tube placement. Nursing Research 48(4)189-197, 1999
  • Metheny NA, Wehrle M, Wiersema L, Clark J: Testing feeding tube placement: auscultation vs. pH method. American Journal of Nursing 98(5)37-43, 1998
  • Metheny NA, Smith L, Wehrle M, Wiersema L, Clark J: pH, color, and feeding tubes. RN 61(1)25-7, 1998 
  • Metheny NA, Stewart B, Smith L, Yan H, Diebold M, & Clouse R. pH and concentrations of pepsin and trypsin in feeding tube aspirates as predictors of tube placement. Journal of Parenteral & Enteral Nutrition 21(5)279-285, 1997 
  • Metheny NA & Clouse RE: Bedside methods for detecting aspiration in tube-fed patients: A review. CHEST 111(3)724-731, 1997
  • Metheny NA, Clouse RE, Clark J, Reed L, Wehrle M, Wiersema L: Use of the pH method to predict feeding tube placement. Nutrition in Clinical Practice 19(5)185-190, 1994
  • Metheny NA, Reed L, Berglund B, Wehrle M: Visual characteristics of aspirates from feeding tubes as a method for predicting tube location. Nursing Research 43(5)282-287, 1994
  • Metheny NA, McSweeney M, Wiersema L, Wehrle M: Effectivness of the auscultatory method is predicting feeding tube placement. Nursing Research 39(5):252-267, 1990
  • Metheny NA, Williams P, Wiersema L, Wehrle M, Eisenberg P, McSweeney M: Effectiveness of pH measurements in predicting feeding tube placement. Nursing Research 38(5)280-285, 1989
  • Metheny N: Measures to test feeding tube placement: A review. Nursing Research 37(6)324-329, 1988
  • Metheny N, Eisenberg P, McSweeney M: Effect of feeding tube properties and three irrigants on clogging rates. 37(1):165-9, 1988

Funding:

  • 2014-2016: Testing feeding tube placement in infants. Impact Grant funded by the American Association of Critical Care Nurses. Principal Investigator. $50,000 
  • 2009-2011: Development of a ‘Nurse-Friendly' Bedside Test for Aspiration. Funded by the National Institute of Nursing Research, 1 R21 NR011228-01. Principal Investigator. $181,913 
  • 2009: Supplement to ‘Development of a Nurse-Friendly Bedside Test for Aspiration.' Funded by the National Institute of Nursing Research. 3R21NR011228-01S1, Principal Investigator. $32,140 
  • 2006-2008: Detecting Aspiration Associated with Tube Feedings. Funded by the National Institute of Nursing Research, RO1NR05007. Principal Investigator. $939,749 
  • 2002-2005: Detecting Aspiration Associated with Tube Feedings. Funded by the National Institute of Nursing Research, RO1NR05007. Principal Investigator. $1,452,444 
  • 1999-2002: Detecting Aspiration Associated with Tube Feedings. Funded by the National Institute of Nursing Research. RO1NR05007. Principal Investigator. $1,026,453 
  • 1995-1998: Measures to Test Feeding Tube Placement. Funded by the National Institute of Nursing Research, RO1NRO1669, Principal Investigator. $1,074,825 
  • 1991-1994: Measures to Test Feeding Tube Placement. Funded by the National Institute of Nursing Research, R01NRO1669, Principal Investigator. $699.565 
  • 1987-1989: Measures to Test Feeding Tube Placement. Funded by the National Institute of Nursing Research, Principal Investigator. $265,650 
  • 1986: Relationship of Feeding Tube Properties to Nursing Management. Funded by Sigma Theta Tau International, Principal Investigator. $3000 
  • 1985: Monitoring Patients with Nasally Placed Feeding Tubes. Funded by the American Nurses' Foundation, Principal Investigator. $2100