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...Critical care nutrition therapy algorithms www nestlehealthscience us ask all trademarks are owned by societe des produits nestle s a vevey switzerland nest eversion enteral decision and calculation of needs based on guidelines assess calorie admission to icu with high risk or severely malnourished protein requirements is en contraindicated contraindications gi obstruction bowel patient ischemia intractable vomiting diarrhea yes no estimated nutrient eb within hours should be made c peptide diets part safe start top down consider use supplemental pn after days protocol strategy protocols implemented if unable meet energy increase goal calories provided da alone g mcclave sa et al for the provision assessment support in adult critically ill society formulas adjunctive nutritional medicine sccm american parenteral interventions aspen jpen brantley mills m overview mueller cm ed core curriculum nd boulatta j carney l guenter p complications handbook delegge rhodes b peptamen vivonex impac...