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Nutrition, PICU, Initiation and Advancement — Slow Advance of Trophic Feeds — Clinical Pathway: ICU and Inpatient

Nutrition Initiation and Advancement Clinical Pathway — PICU/PCU

Conservative Advance of Trophic Feeds to Prescribed Goal

Reduce IVF/PN rate per clinical team recommendation

Age Feed Goal Conservative Advance
To reach goal in 24 - 36 hr
Starting Rate Increase Interval
0 - < 12 mo 5 ml/kg/hr 1 ml/kg/hr q 6hr
> 12 mo - < 4 yo 30 ml/hr 0.5 ml/kg q 6 hr
4 - < 8 yo 45 ml/hr 0.5 ml/kg q 6 hr
8 - < 12 yo 50 ml/hr 0.5 ml/kg q 8 hr (max 25 ml/hr)
> 12 yo 65 ml/hr 0.5 ml/kg q 8 hr (max 25 ml/hr)

 

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