How Do You Calculate Tube Feeding?

Divide dose in mL by time in hrs to determine the rate Rate is the amount of liquid food you give in one hour. Rate is measured in mL/hr (milliliters per hour). Dose is the total amount of liquid food you want to give in one feeding.

What is the starting rate for tube feeding?

Feeding usually begins at a concentration of ≤0.5 kcal/mL and a rate of 25 mL/hour After a few days, concentrations and volumes can be increased to eventually meet caloric and water needs. Usually, the maximum that can be tolerated is 0.8 kcal/mL at 125 mL/hour, providing 2400 kcal/day.

How much formula will I need?

On average, your baby should take in about 2½ ounces (75 mL) of formula a day for every pound (453 g) of body weight.

What is the most common problem in tube feeding?

The most frequent tube-related complications included inadvertent removal of the tube (broken tube, plugged tube; 45.1%), tube leakage (6.4%), dermatitis of the stoma (6.4%), and diarrhea (6.4%).

How long can you hang tube feeding formula?

Per manufacturer guidelines, RTH containers are approved to hang for up to 48 hours , yet available tubing sets are only approved to hang for 24 hours; hence, all RTH formula containers must be discarded at 24 hours as they cannot be spiked more than once.

How often should tube feeding be changed?

The feeding bag should be changed every 24 hours Food (formula) should not be left in the bag for more than 4 hours. So, only put 4 hours (or less) worth of food in the feeding bag at a time.

How do you determine calorie and protein needs for the tube feeding patient?

Protein needs: 0.8 g./kg of IBW (up to 2 g/kg if stress; 1.2-1.5 g/kg freq. used) or, another way to estimate protein needs: nonprotein calorie to nitrogen ratio Ratios of 100-150 kcal:1 g N in stressful conditions to promote anabolism and 250-300 kcal:1 g N for normal body maint.

How do you calculate free water in tube feeding?

Free Water Calculation Formula A is 70% free water. Total volume of formula prescribed is 1300 mL. Estimated patient fluid needs = 1600 mL per day. 1300 mL x 0.70 = 910 mL free water available to meet patient fluid needs. 1600 mL – 910 mL = 690 mL additional free water needed to meet 100% estimated fluid needs.

How much formula will I need in a month?

It is common for babies to take a minimum of 2-3 ounces (60-90 mL) of formula in their feedings, as most babies take between 10-15 ounces (40-50) daily. Four ounces (120 mL) per feed is recommended for a one-month-old During feedings for two month olds, four ounces (150 mL) are provided.

How much formula should a 3 day newborn have?

You can start by offering your baby 1 to 2 ounces of infant formula every 2 to 3 hours in the first days of life if your baby is only getting infant formula and no breast milk. Give your baby more if he or she is showing signs of hunger. Most infant formula-fed newborns will feed 8 to 12 times in 24 hours.

What should I start with tube feeding?

Tube Feed Recommendations Start at 20 mL/hr, titrate by 10-20 mL/hr every 4 hours to goal. 250 mL free water flushes every 4 hours (62.5 mL/hr).

What is the life expectancy of a person with a feeding tube?

Patients who receive a percutaneous feeding tube have a 30-day mortality risk of 18%–24% and a 1-year mortality risk of 50%–63% In a well-designed prospective study, Callahan et al. followed 150 patients with new feeding tubes and varied diagnoses, and found 30-day mortality of 22% and 1-year mortality of 50%.