Re: Nutrition Support and Residuals

[Guest guest]

The ESPEN guidelines have recomendations for residuals. The new recomendation to

stop feeding is 500mL in 6h if I am not mistaken. Don't forget just from saliva+

esophagic secretions+ gastric juices is is around 3L per/day which gives

125mL/hour. 200mL is not that much.

Catia Borges

>

> Our nursing department informed me that they held initiating a patients TF at

6pm (night feeds only 6p-6a) because " he had 200ml of residuals " . I had brought

to their attention that the " residual " was his puree dinner and wouldnt it be

common sense to not use this criteria to hold vs not hold a nutrition support

feeding? " No, that is how we are taught " .

>

> Is there any evidence based information or ASPEN guidelines, etc that

addresses residuals when po is also a contributing factor. The nurses and

nursing instructor who happened to be present, are interested in clarifying

this, as am I. TIA

>

> Carley Colotti RD, LD

>