Skip to main content

Nutrition, PICU, Initiation and Advancement — Initiating Trophic Feeds — Clinical Pathway: ICU and Inpatient

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

 

Jump back to top