Very well presented...as a surgery resident I know that fluid and energy requirements of a surgical pt.(pre and post-op) are the most underrated and overlooked things which if followed correctly can make a huge difference in management. 👍
Absolutely, it’s definitely one of those chapters I skipped over a couple of times before I sat down and said “dude, you gotta learn this.” In addition to your surgery textbook of choice chapter I recommend reading Marino’s discussion of fluids in The ICU book
Hey Dr. Pearson, thanks for making these videos, they are super helpful. I see you use evernote a lot. Could you discuss how you organize your notes regarding textbook readings, procedures, as well as clinical information you encounter in the day-to-day
Joshua Wechsler thanks so much for the feedback. I’ll definitely put together a talk on how to get organized! In the mean time I wrote a blog post on Evernote you may find helpful. Check this out and let me know what you think. www.citizensurgeon.com/evernote/
Marianne Castro thanks so much! If you found it helpful please share with your mates! Have a new video on blood type, type and screen and type and cross coming out in the next few days, it will be a good one!
@@citizensurgeon Sure doctor 🥰 Gonna share it to all those medical students who are also struggling in SURGERY! Thank you for the big help🙌🙌 God bless you! #DOCTOROFMEDICINE
great guide and very beneficial thank you so much, let me ask you this if you don't mind,,, while infusion and administering TPN the color of the contents in the bag changes from clear to slightly cloudy. Should i abruptly stop the infusion or let it complete??? please guide
Hey Mohammed, you're welcome! Try not to think of it as a "normal range". Think of it has what the body is burning at a particular RQ. So if we want to say that "normal" is when we're burning carbohydrates, our usual non starvation mode then the RQ would be 0.9-1. If we're burning proteins then it will drop down to 0.8 and if we're burning fats it would be 0.7. Also if it's greater than 1 remember we're being overfed. Hope this helps!
TPN is severely damaging my baby niece's liver (pre-term baby with an adjusted age of 2 months). What can be adjusted to my TPN less taxing on her liver? Apparently the hospital has already tried Omega-van and Smof to no avail. Currently she cannot feed through the mouth. Any advise/insight would be appreciated.
I’m sorry to hear that and now I’m only realizing that was 7 months ago! There are a few things that can be done to adjust the lipids in TPN such as changing to SMOF or Omegavan. Definitely talk with your Peds GI doctor!
Very well presented...as a surgery resident I know that fluid and energy requirements of a surgical pt.(pre and post-op) are the most underrated and overlooked things which if followed correctly can make a huge difference in management. 👍
Absolutely, it’s definitely one of those chapters I skipped over a couple of times before I sat down and said “dude, you gotta learn this.” In addition to your surgery textbook of choice chapter I recommend reading Marino’s discussion of fluids in The ICU book
Very nice sir. It’s really helpful in understanding the chapter in the textbooks. Thankyou for making these videos. Please do more
Thanks so much for the feedback, two just finishing the edits on
Thank you so much for these videos! They are saving me for my EOR PA exams!
Kathryn Fossaceca that’s totally awesome, second bleeding video coming out in the next day! Let me know what would help!
Hey Dr. Pearson, thanks for making these videos, they are super helpful. I see you use evernote a lot. Could you discuss how you organize your notes regarding textbook readings, procedures, as well as clinical information you encounter in the day-to-day
Joshua Wechsler thanks so much for the feedback. I’ll definitely put together a talk on how to get organized! In the mean time I wrote a blog post on Evernote you may find helpful. Check this out and let me know what you think. www.citizensurgeon.com/evernote/
Very good explanation, thank you !
Thank you 💓
May you continue to make many more informative videos 🙌
Marianne Castro thanks so much! If you found it helpful please share with your mates! Have a new video on blood type, type and screen and type and cross coming out in the next few days, it will be a good one!
@@citizensurgeon Sure doctor 🥰 Gonna share it to all those medical students who are also struggling in SURGERY! Thank you for the big help🙌🙌 God bless you! #DOCTOROFMEDICINE
Amazing, thank you for that!
Man!!! your videos are live saving🙌🙌
Awesome so glad you found them helpful!!
great guide and very beneficial thank you so much, let me ask you this if you don't mind,,, while infusion and administering TPN the color of the contents in the bag changes from clear to slightly cloudy. Should i abruptly stop the infusion or let it complete??? please guide
Normal range of RQ = 0.7 to 1?
Thank you for all your videos!
Hey Mohammed, you're welcome! Try not to think of it as a "normal range". Think of it has what the body is burning at a particular RQ. So if we want to say that "normal" is when we're burning carbohydrates, our usual non starvation mode then the RQ would be 0.9-1. If we're burning proteins then it will drop down to 0.8 and if we're burning fats it would be 0.7. Also if it's greater than 1 remember we're being overfed. Hope this helps!
Great video thank you!
Thank you! Happy to hear you enjoyed it!
TPN is severely damaging my baby niece's liver (pre-term baby with an adjusted age of 2 months). What can be adjusted to my TPN less taxing on her liver? Apparently the hospital has already tried Omega-van and Smof to no avail. Currently she cannot feed through the mouth. Any advise/insight would be appreciated.
I’m sorry to hear that and now I’m only realizing that was 7 months ago! There are a few things that can be done to adjust the lipids in TPN such as changing to SMOF or Omegavan. Definitely talk with your Peds GI doctor!
Just a revision of what i read in book ❤
Thanks for the comment! Hopefully that’s a good thing :)
Make more surgical videos
They are on the way :)
Do you've a video on ABGs doc?
I don’t but I’ll make one, I have a few tricks to pass along!
strong jaw bro
Ha, must be the lighting