Volume-Based Feeding: Remember not to reduce rate of enteral feeding unless the gastric residual volume is >300 ml PEPuP POINTERS.

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Presentation transcript:

Volume-Based Feeding: Remember not to reduce rate of enteral feeding unless the gastric residual volume is >300 ml PEPuP POINTERS

All patients start on a semi-elemental formula (may reassess if needed) PEPuP POINTERS

LOOSE STOOLS? Don’t forget to use the study diarrhea guideline PEPuP POINTERS

All patients start on Metoclopramide… but reassess the need daily! PEPuP POINTERS

AVOID THE PROTEIN DEFICIT! All patients start Beneprotein ® on Day 1 2 packets mixed in 120 ml sterile water bid

Spread the good news! Report on nutritional adequacy at rounds each day PEPuP POINTERS

Remember to fill in the reason for NPO status on the enteral order form

Good enteral feeding practice means thinking ahead! DON’T FORGET to account for held hours in your feeding rate calculation PEPuP POINTERS

TROPHIC FEEDING: Start a semi-elemental formula at 10 mL/h. Do not monitor gastric residual volumes. PEPuP POINTERS

DON’T FORGET to use the Gastric Feeding Flow Chart to help follow the protocol for gastric residual volumes! PEPuP POINTERS