Patient not tolerating bolus feedings

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I have a patient that came in on continuous feedings. Tried to increase his

feeding hourly rate to meet his nutrient needs. Continuous rate tolerated

45ml/hr. Anything more there is residuals and diarrhea. Weight is steady x over1

month. He came in on Nestle formula (his preference)Diabetisource AC. Switched

to Ross Glucerna continuous feedings OK without complications. He is being

discharged tomorrow and wanted bolus feedings. Tried 1 can (240ml) every 4 hours

- diarrhea resulted. tried 1/2 can (125ml) same thing.

He goes out on day pass and pureed his own formula (water and vegetables) and

administered same amount (240ml) bolus and stated no complications resulted.

Question: Has anyone had a similar experience? Any suggestions/advice would be

appreciated.He doesn't want to go back to continuous feedings.

Sunny Shahinian

sunny.shahinian@...