The PEP uP Trial Has Begun. Protocol: www.criticalcarenutrition.com Enhanced Protein-Energy Provision via the Enteral Route in Critically Ill Patients More calories and protein for ICU patients for better clinical outcomes… Start feeds at goal rate in stable patients Use a concentrated well-tolerated formula  Order feeds by 24 hr volume, not by hourly rate RN sets the feed rate, and catches-up missed volume Start motility agents immediately, not waiting for high gastric residuals Start supplement immediately Trickle feeds in unstable patients Increase threshold for gastric residuals to 300mL RN reports adequacy of nutrition intake on daily rounds Lytes and Ca, Mg, Phos q12h x 72 hours The PEP uP Trial Has Begun. Get PEPPED UP! For more information, contact __________________________________

Protocol: _________ _________ _________ The PEP uP Trial Has Begun. www.criticalcarenutrition.com Enhanced Protein-Energy Provision via the Enteral Route in Critically Ill Patients We are implementing a new feeding protocol in our ICU! Your Protocol Implementation Team (“PIT Crew”) will help teach you how to use this new protocol. PIT Crew Contact Info: _________ _________ _________ The PEP uP Trial Has Begun. Get PEPPED UP!

Have You Attended an Education Session Yet? Protocol: www.criticalcarenutrition.com Enhanced Protein-Energy Provision via the Enteral Route in Critically Ill Patients Have You Attended an Education Session Yet? The next session is: _________________ We hope to see you there! The PEP uP Trial Has Begun. Get PEPPED UP! For more information, contact __________________________________