Clinical Nutrition Desk

Compact case in. Saturated, tidy out: products, how to give them, precautions, and trial-backed fixes. Same palette as Clinical Promedic1 — faster path, fewer clicks.

1 · ORALConscious + stableStart low sip feeds. Increase if tolerated.

2 · RYLE / ENNo oral toleranceVomiting, unconscious, dysphagia → tube.

3 · PARENTERALGut unusableObstruction, tumor blocking Ryle, non-functional GIT.

Case — keep it short

Name Age (y) Sex Weight (kg) * Height (cm) Stress

Hemodynamically stable? MAP ≥60, lactate falling, not crashing. If no → stabilize first, no calories.

Conscious, can protect airway? Unconscious / no gag → do not start oral.

Oral nutrition tolerated? Vomiting, severe nausea, refusal, dysphagia = no.

GIT usable for a Ryle? Obstruction, tumor blocking tube, ischemia, peritonitis, high fistula → PN.

Output is a desk card, not a chart note. Verify with the team and current ESPEN/ASPEN protocols. Weight is required.

Tap the gates, add weight, then build. The desk updates in one paint — products, preparation, precautions, trial-backed issues.