Видео

Thank you

Watch on 2X speed is much better

I had ice for 3 days then after the leak test was put on free fluids which included creamy soup, ice cream, apple juice, jelly and custard and a tub of yoghurt as my first meal in the hospital. Couldn't believe it after all I'd read. On day 14, I start pureed food for one week, then doc said i can go on solid food. I asked about the soft stage and he said it wasn't necessary. So for me, solid food is introduced at 21 days. Wow, that's a fast progression. I'm taking it slowly though. I have made potato and leek soup, vegetable soup, tomato soup and pumpkin soup which i blended and watered down plus a few protein drinks (yuk, too sweet for me) yoghurt, and diet jelly plus protein water. Tomorrow i can start puree and i have soup to finish and about 10 sachets of baby food, then I'll puree meats and such and try scrambled egg. When on solids, I'm told to have vegetables first, then protein, then carbs. I can try bread, go slow on pasta and rice and avoid sugar as much as possible. That's doc's instructions until i see him next month.

Dietetic student👩‍🎓

can you do a video on acid base balance?

Nutrition preventative and therapeutic. Nutrition support feeding someone who can't get enough from food. Enteral and parenteral Nutrition. Enteral tube feeding can give all needed nutrition. Enteral is not eating or veins. Tube nasopharyngeal or NG 6 weeks or less. Abd wall tube more than 6 weeks. Parenteral is IV nutrition to bloodstream, doesn't use GI tract. Enteral uses GI sysEN closer to GI. Green eats well, good ability to eating spite of illness. Yellow appetite intake questionable chemo pts, pureed diets. Red light can't eat venntillator, gi obstruction. Yellow needs addressed, may or may not need assistance. Poorly nourished loss of fat and muscle to limbs, 5% in 1 month 20% body wt lost in 1 year. Eating half of calorie needs over a week. Inadequate or anticipated poor intake. If the GI system works do enteral nutrition instead of parenteral Nutrition, save parenteral Nutrition when GI doesn't work.usimg GI tract helps improve it functions and can strengthen immunity. Enteral fewer metabolic abnormalities and cost less effective. If the gut works use it.

You are the G.O. A.T!

Dietetic intern here! I've been binging your videos to prepare for my internship!!

What's the amount of Vitamin K is recommended in patients who are on Warfarin?

Great content as usual. One question regarding the free water deficit, is that given additionally to the total fluids the patient is receiving from EN and flushes or do we adjust the flushes so that the total fluid is equal the calculated free water deficit?

No holding feeding for 4-6 hr before giving bolus???

Your videos on point!!!!! It's helping me study for my CNSC exam

Thank you. This was helpful

This is so helpful thank you!!

Excellent research, graphics, and narration!

So if theoretically, someone took a nutrient pill containing these electrolytes alongside a food that also contains them while still containing less than 200+ calories, would someone still be at risk?

Awesome video, I have no had to work on TPN in years and this helped me understand.

hi CNU, nice video! I am now learning EN, do u have any references recommended on what condition we choose bolus/cyclic/intermittent/continuous? I am eager to read more on how to choose the feeding method and is there any link between GCS and our choice for feeding method but I can't really find reliable reference

Excellent video! It is filled with a plethora of useful information and is EASY to understand. A family member of mine just had a nephrectomy and has an ongoing chyle leak. Limiting fat intake is the key, as the fluid color changes widely with too much fat. Trying low fat diet to eradicate the leak. Output in last 24 hrs was 350 ml and previous triglycerides level was at 470. We have had it as low as 129. Diet, diet, diet!

Great video. Thank you. Just bought The Book of Clinical Nutrition Case Studies (for the Inpatient Setting) for Kindle!

I had to have 1/3 of my stomach removed because of ulcers were so chronic they were eating my stomach away and now I have early dumping syndrome and it’s horrible 😂😂

Summary: Never go on a prolonged fasting ffs

I just got a little depressed when I realized you do not have an IBD video. I loooove your videos since I am currently studying for the RD exam. Would love to see you touch on this mnt topic :)

Hamwi is my last name…

How delusional or malevolent you guys are to suggest a bariatric surgery for weight loss, but than feed the patients same sugary crap that made him fat in the first place!

Spinach, yogurt, water smoothie. Every damn day. Its awful

I always appreciate a new upload! Thank you!!!

best TPN understanding

NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa ________________________________ This video was recorded at a speed to accommodate all learners. If you're a fast learner, listen at 1.25x or 1.5x by adjusting the playback speed under Settings.

Very helpful video.

Veryyyy good. My first job as a LPN may be with tube feeding patients and this helped me soooooooo much thank you. I can listen to you for hoursssssss

Thank you 🙏

This is actually the most helpful explanation I needed because I'm trying to make a story with a medical plot as accurate as possible.

nice！

very helpful, thanks！！！

What about acitrom should we follow vitamin -k restricted diet

Thank you for your valuable ideas👍

Thanks for the explanation Question: Can i use the same calculation formula , but writing a prescription for bolus feeding?

Have tried it all. Nothing beats mk677/ibutamoren

At 11:07 you mentioned lowering the ph of gastric contents as sonething that may increase GERD. Does this mean that even drinking water during meal times may increase the risk of GERD. From what I understand, water is about a ph of 7 and HCL is about 1.1. I would imagine drinking water would also lead to an increase in pH. Let me know what you think! Thanks!

This landed me in the E.R. two years ago while I was about 8% bodyfat, on the Carnivore diet. They misdiagnosed me as having Respiratory Alkylosis. This is mainly because I was so bad, I could hardly talk to explain my history. Interestingly enough, my health has beed declining ever since that day. I'm about 25 lbs heavier and probably 25% body fat. I've been working on trying to find out what is wrong since none of my 5 doctors can. One of my symptoms is that I fall asleep right after my first meal of the day, around 2PM. Two weeks ago, I figured it out. I've got low Thiamine! I've been taking mega doses of Thiamine for 2 weeks and my health has taken a 180 for the better. Here's the kicker. 9 months ago, I was sure that I had low Biotin. I had my doctor run a full B panel only to find out that I was wrong. When I realized that my Thiamine was the problem, I went back and looked at the results. My Thiamine was 185. That's really high. This just goes to show you that blood serum vitamin levels don't always tell the whole story. I'm not fully recovered yet but better every day. If I take Thiamine before my first meal, I don't fall asleep. If I dont, my first meal still knocks me out.