Manual of Clinical Nutrition

Enteral Nutrition Support Therapy for Adults

Manual of Clinical Nutrition Management B- 47 Copyright © 2013 Compass Group, Inc.

of the fluid requirements, discontinuation of tube feedings should be considered (3,5). If a critically ill patient
is unable to meet energy requirements (100% of the target energy goal) after 7 to 10 days by the enteral
route alone, supplemental parenteral nutrition should be considered (5). The provision of supplemental
parenteral nutrition prior to this 7- to 10-day period does not improve the patient’s nutritional status and
may be detrimental (5).

See Section III: Clinical Nutrition Management, Enteral Nutrition: Management of Complications

*The Academy of Nutrition and Dietetics has assigned grades, ranging from Grade I (good/strong) to Grade V (insufficient evidence), to
evidence and conclusion statements. The grading system is described in Section III: Clinical Nutrition Management A Reference Guide, page
III-1.

References

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2. Joint Standards Task Force of ASPEN and the American Dietetic Association Dietitians in Nutrition Support Practice Group. Russell M,
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