For more information, contact __________________________________

1
www.criticalcarenutrition.com
Enhanced Protein-Energy Provision via the
Enteral Route in Critically Ill Patients

• More calories and protein for ICU patients for
  better clinical outcomes
• Start feeds at goal rate in stable patients
• Use a concentrated well-tolerated formula ?
• Order feeds by 24 hr volume, not by hourly rate
• RN sets the feed rate, and catches-up missed
  volume
• Start motility agents immediately, not waiting
  for high gastric residuals
• Start supplement immediately
• Trickle feeds in unstable patients
• Increase threshold for gastric residuals to 300mL
• RN reports adequacy of nutrition intake on daily
  rounds
• Lytes and Ca, Mg, Phos q12h x 72 hours

The PEP uP Trial Has Begun. Get PEPPED UP!
For more information, contact ____________________
______________
2

www.criticalcarenutrition.com
Enhanced Protein-Energy Provision via the
Enteral Route in Critically Ill Patients
We are implementing a new feeding protocol in our
ICU!
Your Protocol Implementation Team (PIT Crew)
will help teach you how to use this new protocol.
PIT Crew Contact Info _________ _________ ____
_____
The PEP uP Trial Has Begun. Get PEPPED UP!
3

www.criticalcarenutrition.com
Enhanced Protein-Energy Provision via the
Enteral Route in Critically Ill Patients
Have You Attended an Education Session Yet? The
next session is _________________ We hope to see
you there!
The PEP uP Trial Has Begun. Get PEPPED UP!
For more information, contact ____________________
______________