Principle 1 | Quantify feeding intolerance primarily by stool or ostomy output, and hydration status. |
Principle 2 | Tolerance assessed no more than twice per 24 hours; no more than one advancement in feeds per 24-hour period. |
Principle 3 | Typical enteral feeding goal are 150 to 200 mL/kg/day, and 100 to 140 kcal/kg/day, provided that weight gain is adequate. |
Principle 4 | If ostomy or stool output precludes advancement at 20 kcal/ounce for 7 days, then the caloric density of the formula may be increased. |
Principle 5 | Reductions in parenteral nutrition support should be undertaken simultaneously with feeding advancement, provided that weight gain is adequate. |
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