Nutrition Initiation and Advancement Clinical Pathway — PICU/PCU
Nutrition Initiation and Advancement Clinical Pathway — PICU/PCU
Daily Evaluation for Trophic Feeds
- Reassess daily on rounds the patient’s ability for enteral nutrition/advancement
- Consult RD if unable to initiate or advance enteral nutrition by 72 hours after admission
Evaluation of Time to Enteral Nutrition
- If enteral nutrition will be started in < 3 days, parenteral nutrition (PN) is not appropriate. Maintain IV fluids.
- If enteral nutrition will not be started for > 3 days, central venous access is necessary for PN.
- The use of PN through a peripheral IV line is strongly discouraged.