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Volume-Based Feeding:

PEPuP POINTERS. 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 Peptamen ® Bariatric (may reassess if needed) . PEPuP POINTERS. LOOSE STOOLS?

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Volume-Based Feeding:

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

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

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

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

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

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

  7. PEPuP POINTERS Remember to fill in the reason for NPO status on the enteral order form

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

  9. PEPuP POINTERS TROPHIC FEEDING: Start Peptamen® Bariatric at 10 mL/h. Do not monitor gastric residual volumes.

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

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