HHL KEMPS® Plus-2

Nutritional Supplement Usage Guidelines

Purpose: To provide the individual resident additional supplementation if the need exists to promote weight maintenance or gain and to promote skin integrity.

Protocol for HHL KEMPS® Plus-2 During Medication Passes:

• Obtain physician’s order for KEMPS® Plus-2, 60cc (2 oz.) QID.
• Transfer order to resident’s medical record.
• Store KEMPS® Plus-2 under refrigeration on the nursing unit. Store any unused portion in the refrigerator and discard after 10 days.
• Dispense the KEMPS® Plus-2 during med pass and other times as necessary. Give 60cc (2 oz.) in a granulated medication cup. When not refrigerated, keep KEMPS® Plus-2 carton in carton cooler provided. Discard after four hours at room temperature.
• Provide extra water, alternative juice, or drink beverage to prevent dehydration dependent upon patient’s condition or diagnosis.
• Document amount of KEMPS® Plus-2 consumed by resident in resident’s medication record. Also record for fluid intake if applicable.
• The resident should be weighed monthly or as noted in the resident’s medical record (e.g. daily, bi-weekly, etc.). Weight changes should be monitored as part of the on-going nutritional assessment.

Criteria for Assessing the Need for KEMPS® Plus-2:

• Weight loss x 30 days, -7.5% x 3 months, -10% x 180 days
• Unplanned, progressive weight loss
• Decubiti. Skin breakdown
• Delayed wound healing
• Increased metabolic need such as severe trauma, burns, infection, recent fractures or surgery
• Low serum albumin (<3.5)
• Cancer and radiation or chemotherapy
• HIV or AIDS

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