Nutrition Initiation and Advancement Clinical Pathway — PICU/PCU
Nutrition Initiation and Advancement Clinical Pathway — PICU/PCU
Initiating Trophic Feeds
- In all age groups, trophic feeds start at 0.5 mL/kg/hr (max amount of 25 mL/hr)
- Evaluate the patient's tolerance daily and readiness to advance feeds
- For ICU Clinical Team decision-making:
- Initiate PN on Day 4 if:
- Patient has NOT attained a minimum of 60% of goal feeds by oral or enteral route and is NOT anticipated to attain this minimum within 24-48 hours
OR - Patient is unable to advance beyond trophic feedings
- Patient has NOT attained a minimum of 60% of goal feeds by oral or enteral route and is NOT anticipated to attain this minimum within 24-48 hours
- Initiate PN on Day 4 if: