Answers
1. Aspirating for gastric residual volume should be done
in case of high GRV, prokinetic medicine like metoclopramide can be given. Stool softeners also increase gastric moyility. Furthur hyperglycemia is linked to slowing of gastric emptying so control of blood sugar level should be considered. Otherwise post pyloric or jejunal feed can be initiated.
2.
Nutrition assessment should be made on regular basis if he is getting adequate calorie and protein. Patient should be assessed for feed tolerance. Always make sure if required amount of feed is delivered at appropriate feed rate. Care should be taken of feeding equipments. Flushing of tube is mandatory so as to avoid blockage.
Patient head should be elevated while feeding.
adequacy of nutrition support should be assessed according to height and weight, any changes according to presence of infections, improvement in condition should be made.
Protein supplements should be considered.
glutamine supplementation should be utilized
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