Why was the enteral formula started at 25 mL/hr? What will be ...

[Awilson837]

Why was the enteral formula started at 25 mL/hr?
 
  What will be an ideal response?

Question 2

This patient was started on an enteral feeding postoperatively. What type of enteral formula is Pivot 1.
 
  5? Using the current ASPEN guidelines for initiation of nutrition support, state whether you agree with this choice and provide a rationale for your response.

[Tabitha_2016]

Answer to Question 1

Pivot 1.5 Cal has an osmolality of 595 mOsm/kg H2O and will be better tolerated when started at a lower rate.

Answer to Question 2

This patient entered surgery already malnourished. The ability to transition from NPO to an adequate oral diet may take anywhere from 3-7 days. Maximizing her nutritional support will make her recovery easier and decrease the potential for post-operative complications.
Pivot is a high-protein, hydrolyzed formula containing omega-3 fatty acids, MCT/fish oil structured lipid, soluble fiber, and antioxidants (vitamins C, vitamin E, and beta-carotene). It is formulated specifically for GI dysfunction and provides the higher amounts of protein appropriate for the patient's documented malnutrition, her current post-operative status, and the demands of metabolic stress.