Transition to Oral or Enteral Nutrition

The goal is to transition the patient to enteral or oral nutrition and taper off PN as soon as indicated clinically. When initiating enteral or oral nutrition, monitor the patient for glucose, fluid, and electrolyte abnormalities. When oral nutrition intake is inconsistent, perform calorie counts to determine the adequacy of nutrition via the oral route. When the patient is tolerating more than 50% of total estimated daily calorie and protein requirements via the oral or enteral route, wean PN by about 50%. PN can be stopped once the patient is tolerating at least 75% of total daily calorie and protein requirements via the oral or enteral route, assuming that intestinal absorption is maintained.

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