Were any additional signs of EN intolerance documented? Do you ...

[Hungry!]

Were any additional signs of EN intolerance documented? Do you agree with the decision to discontinue the feeding? Why or why not?
 
  What will be an ideal response?

Question 2

Can patients with celiac disease also be lactose intolerant?
 
  What will be an ideal response?

[Sophiapenny]

Answer to Question 1

 No. In the Consensus Statement presented by the North American Summit on Aspiration in the Critically Ill Patient, it was recommended that enteral feedings be stopped only if there is definite regurgitation or aspiration of gastric contents, or if a residual volume >500 mL is measured. No measurement of the GRV is given.
No aspiration was documented.
GRV >500 mL indicates the feeding should be held, and tolerance should be reassessed.
GRV <500 emptying.

Answer to Question 2

 Lactase is available for digestion of lactose at the brush border of the enterocyte.
 When this brush border is damagedin this case from celiac diseaseit is not uncommon for patients to experience secondary lactose intolerance (hypolactasia).
 Until the villi have had an opportunity to heal, lactose may need to be restricted.

[Hungry!]

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[Sophiapenny]

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