1. It’s Time to Get PEPPED UP!
What Is It?
Stands for Enhanced Protein-Energy Provision Via The Enteral Route in Critically Ill Patients
Goal: To increase calories and protein to improve clinical outcomes
How Do We Do That?
Use Peptamen 1.5 because it is concentrated and well-tolerated
Order feeds by 24-hour volume, rather than by hourly rate
Give protein supplements every day until goal volume is being met
RN sets the rate, and changes it to make up for interruptions
RN reports nutritional adequacy at daily rounds
Start motility agents immediately, then discontinue if not needed
Gastric residual volume threshold = 300mL
Use trickle feeds in unstable patients
Just say no
to npo
It’s Time to Get PEPPED UP!
For more information, contact ____________________

2. It’s Time to Get PEPPED UP!
Goal:
To  calories and protein to improve clinical outcomes
Did you know?
Besides NPO, there are two options on the PEP uP Protocol:
Volume-based feeds (most patients)
Trophic feeds (unstable patients)
NPO? Only in cases where there is a contraindication to enteral nutrition
Reassess daily to see if feeding can be commenced
Just say no
to npo
It’s Time to Get PEPPED UP!
For more information, contact ____________________

3. Have you attended an education session yet?
What Is It?
Stands for Enhanced Protein-Energy Provision Via The Enteral Route in Critically Ill Patients
Goal: To increase calories and protein to improve clinical outcomes
Have you attended an education session yet?
The next session is: _________________
We hope to see you there!
It’s Time to Get PEPPED UP!
For more information, contact ____________________

4. There’s a New Feeding Protocol in Our ICU!
Stands for Enhanced Protein-Energy Provision Via The Enteral Route in Critically Ill Patients
Goal: To increase calories and protein to improve clinical outcomes
Your Protocol Implementation Team (“PIT Crew”)
will help teach you how to use this new protocol.
PIT Crew Contact Info:
____________ ____________ ____________
It’s Time to Get PEPPED UP!