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Early Enteral Feeding (within the first 24-48 hours) is the preferred mode of artificial feedingover total parenteral nutrition (TPN), and should be maintained while patients remain in theflow or catabolic phase of their injury regardless of their state of oral intake.(1,2,3)Observational monitors of the flow phase include tachycardia, hypertension, hyperventilation,and hyperthermia. Current literature suggests that bowel sounds do not have to be presentto successfully commence enteral feeding as bowel sounds are not a good indicator of thesmall intestines’ capacity to absorb nutrients.(4) This remains controversial and thus patientswill require monitoring to see if they are tolerating the regime
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