Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Checking for residual

Have a question for checking for residual in ped's patients.

When we are checking for residual before giving a formula feeding through a mickey feeding tube, what are the parameters for holding the feeding? I hope my question doesn't sound dumb.

I observed pt. last week and he had less than 5 ml. What is the maximum amount of residual for a ped's pt. to have before you need to hold the feeding?

Thank You!

:confused:

  • Quote

    • Featured Replies

    A good rule of thumb is to hold if the residual is greater than 1/2 the hourly rate or if bolus then 50% /#hours between boluses. In practice I will hold if its greater than 30mL. Of course the more you get to know your patient the more this may change.

  • Quote
    • Experts

    And sometimes the parameters for holding are given per MD order in the plan of care.

  • Quote

    It is normal to have residual and only needs to be checked if there are problems or symptoms in which case the feeding needs to be held anyway and if not an isolated instance the feeding volume and or schedule needs to be reevaluated. The routine checking for residual is an outdated practice.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.