Volume-Based Feeding:

Slides:



Advertisements
Similar presentations
PEP uP Powerpoint - Long Version
Advertisements

Protocol The. I’M HUNGRY! Adequate Nutrition Provides fuel for cellular metabolism Prevents protein/muscle wasting Decreases ventilator time Helps prevent.
The PEP uP Protocol. I’M HUNGRY!! Adequate Nutrition  Provides fuel for cellular metabolism  Prevents protein/muscle wasting  Decreases ventilator.
MAIN FEATURES OF THE PEP uP PROTOCOL All patients will receive Peptamen ® Bariatric initially All patients will start on Beneprotein ® -2 packets (14.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
IV Flow Rates –BASED ON BODY WEIGHT
The PEP uP Protocol. I’M HUNGRY!! Adequate Nutrition  Provides fuel for cellular metabolism  Prevents protein/muscle wasting  Decreases ventilator.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
Rupinder Dhaliwal, RD Nutrition & Rehabilitation Investigator’s Consortium Clinical Evaluation Research Unit Queen’s University, Kingston General Hospital.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
-- Aim for a healthy weight. -- Become physically active each day. -- Let the (Food Guide) Pyramid guide your food choices. -- Eat a variety of grains.
$200 $300 $400 $500 $300 $400 $500 $300 $400 $500 $300 $400 $500 $300 $400 $500 $300 $400 $500 $100 $200 $100.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200.
Chapter 9 Enteral Nutrition. Copyright © 2007 Thomson Delmar Learning. ALL RIGHTS RESERVED.2 Enteral Tubes An enteral tube is a catheter, stoma, or tube.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
Medical Nutrition Therapy Clinical Experience Kathleen Dorsch FND Spring 2011.
FLUID THERAPY AND MANAGEMENT
Enteral Nutrition Support Fluid and electrolyte requirements. Calculate enteral and parenteral nutrition formulations.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
SIFT A multi-centre randomised controlled trial of two speeds of daily increment of milk feeding in very preterm or very low birth weight infants Milk.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
Role of Dietitian Utilizing the Standardization of Nutrition Practices Assessing Energy needs upon admission to Acute Care Unit (ACU) Assessing Protein.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
$100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300 $400 $500 $100 $200 $300.
Volume-Based Feeding: Remember not to reduce rate of enteral feeding unless the gastric residual volume is >300 ml.
Volume-Based Feeding: Remember not to reduce rate of enteral feeding unless the gastric residual volume is >300 ml PEPuP POINTERS.
Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Effect of Evidence-Based Feeding Guidelines on Mortality.
Reducing Nutritional Supplement Related Diarrhea
Enteral Nutrition & Medications
BACKGROUND & OBJECTIVES:
REducing Deaths due to OXidative Stress
Intravenous Solutions, Equipment, and Calculations
Amino Acid Calculator.
Copyright © 2015 by the American Osteopathic Association.
Fluids and Electrolytes
Enteral Feeding Protocol
SIFT Milk Feed Guidance
أهداف المحاضرة مراجعة المفاهيم والعلاقات الأساسية لتحليل العلاقة بين التكاليف والحجم والربح. بناء نموذج لتحليل التعادل في حالة وجود منتج وحيد. بناء نموذج.
Pharmcokinetics Allie punke.
Nutrient Delivery To determine Kcal and protein needs, along with appropriate diet medical nutrition therapy is needed SCREEN is a series of nutrition.
Nibble The Importance of Nutritional Adequacy
1. Volume-Based Feeds: (most patients)
The REDOXS© Study REducing Deaths from OXidative Stress Part 2 of 3
It’s Time to Get PEPPED UP!
Improvement Targets High Performance
Nibble The Importance of Nutritional Adequacy
The PEP uP Trial Has Begun.
1. Volume-Based Feeds: (most patients)
Enteral Formulary Good Shepherd Medical Center - Longview
PEP uP Trial starts February 2009
Charting Q2 Turns/Activity
Dosage Calculation of Critical Care Medications: mcg/kg/min
Presentation transcript:

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

(may reassess if needed) PEPuP POINTERS All patients start on Peptamen® Bariatric (may reassess if needed)

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

but reassess the need daily! 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

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

gastric residual volumes. PEPuP POINTERS TROPHIC FEEDING: Start Peptamen® Bariatric 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!