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.
Are you kidding me?! I just found your channel. I am about to take the RD exam next week. If only I found you sooner! THANK YOU, going to binge watch your videos now :) Super clear and easy to follow! Great visuals.
Thank you very much for this extremely helpful video I'm still having trouble computing for PN but with this video I'm slowly understanding it - From a Nutrition and dietetics student - btw, I subscribed, I pray your channel grows and prospers =)
I'm so happy to hear that you found this video helpful! Since PN calculations are quite complicated, it is not unusual for it to take time to learn. With enough practice, I am confident you will master it. Thank you for subscribing to the channel. I look forward to engaging with you in the future! -- Mitch
Maybe I’m missing it, but can you explain how you got 474mL H2O and how does this make up for the difference? Thank you! Also, is it generalized to use the
Hi Jisselle! Thank you for watching my video. For the 474 mL of free water added to the bag, I was taking the estimated fluid need (2,308 mL) and subtracting the amount of fluid provided by the ingredients (1,906 mL). 2,308 - 1,906 = 474. That 474 mL is just extra water I’d want added to the bag to help meet the patient’s baseline water requirement. It may not be the perfect amount for them, but it’s usually a decent place to start. As for the glucose infusion rate of
Thank you so much! This is extremely helpful. And as an international student, I really appreciate you speak slowly and explain this so clearly! Thank you!
Thank you so much! To answer your question: Sometimes there’s a method, but not always. The one instance that comes to mind where selection is meaningful is when the patient requires a volume restriction (i.e ESRD or CHF). In this case, you’d want to choose the higher percentage options since they’re more concentrated. I could also see this being the case if the patient has very high calorie/protein needs, but I’ve never run into that issue before. If the patient has no fluid restriction and has relatively normal energy/protein needs, any combination of the percentages will work just fine. Most facilities will only carry 1 or 2 of each, so clinicians usually don’t have many to choose from.
thank you for this helpful and easy video illustration however, what if the bag used 3 in 1 .. how to start the feeding and increase gradually if all the solution is all in one bag ?
Hello! Happy to hear you liked the video. This example is for a 3-in-1 bag. In most instances, there is no reason to start slow and increase gradually with a continuous, 24 hour infusion. You can just begin and end at the goal infusion rate.
@@clinicalnutritionuniversity in out hospital, we have a pt who had an order of Kabiven 1,900 kcal per day. How do we complete uye that if the available Kabiven is 1,400 kcal or 743kcal in 1000 ml?
Yes I can! It’s going take me a little while to do though. Right now I only have the capacity to publish a video every other week, and I just started working on a new one yesterday 👍🏻
Great question 👍🏻 The decision wasn’t made because it was EN or PN. I went on the higher end for the PN patient because he recently vomited (fluid loss) and was with inadequate intake for a prolonged period (~1 week). You could do 1 mL/kcal for PN, or you could go higher or lower with EN - It all depends on the case you’re presented with. Admittedly, these cases don’t provide very good explanations for choosing energy/protein/fluid needs. I will have to make specific videos for that in the future!
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.
Are you kidding me?! I just found your channel. I am about to take the RD exam next week. If only I found you sooner! THANK YOU, going to binge watch your videos now :) Super clear and easy to follow! Great visuals.
So happy you found the channel and enjoyed the videos, and so sorry for such a late reply. I’m just seeing it now ❤️ - Mitch
Thank you very much for this extremely helpful video
I'm still having trouble computing for PN but with this video I'm slowly understanding it
- From a Nutrition and dietetics student
- btw, I subscribed, I pray your channel grows and prospers =)
I'm so happy to hear that you found this video helpful! Since PN calculations are quite complicated, it is not unusual for it to take time to learn. With enough practice, I am confident you will master it. Thank you for subscribing to the channel. I look forward to engaging with you in the future! -- Mitch
Maybe I’m missing it, but can you explain how you got 474mL H2O and how does this make up for the difference? Thank you!
Also, is it generalized to use the
Hi Jisselle! Thank you for watching my video. For the 474 mL of free water added to the bag, I was taking the estimated fluid need (2,308 mL) and subtracting the amount of fluid provided by the ingredients (1,906 mL). 2,308 - 1,906 = 474. That 474 mL is just extra water I’d want added to the bag to help meet the patient’s baseline water requirement. It may not be the perfect amount for them, but it’s usually a decent place to start. As for the glucose infusion rate of
Thanks from my heart!
It is really an amazing video. I just watched this and understands the writing of TPN.
Thanks again.
God bless you so much.
I have my exam tomorrow and thanks to your lecture, I can proudly solve anything about TPN
This is the best tpn lesson I’ve ever watched. Thank you.
So glad you enjoyed it, Shannon!
Do you have more examples with answers? I'd love to practice on my own and check my answers
Thank you so much! This is extremely helpful. And as an international student, I really appreciate you speak slowly and explain this so clearly! Thank you!
Really happy to hear you liked this one, Emma!
Great video!! I just wanted to ask- is there a certain method to picking the emulsions (i.e. the specific % for AA / Dextrose%/ Fat %)? Thanks!
Thank you so much!
To answer your question: Sometimes there’s a method, but not always.
The one instance that comes to mind where selection is meaningful is when the patient requires a volume restriction (i.e ESRD or CHF).
In this case, you’d want to choose the higher percentage options since they’re more concentrated.
I could also see this being the case if the patient has very high calorie/protein needs, but I’ve never run into that issue before.
If the patient has no fluid restriction and has relatively normal energy/protein needs, any combination of the percentages will work just fine.
Most facilities will only carry 1 or 2 of each, so clinicians usually don’t have many to choose from.
Holy cow this channel is exactly what I’ve needing in trying to better understand our TPN prescriptions! Thank you so much!!
Happy to hear you’re enjoying the channel! Let me know if you have any questions! - Mitch
Where did the estimated 35 cc/kg amount come from? how was that number derived as well as the estimated energy requirements?
If someone is underweight than how to calculate energy
Extremely helpful! Thank you again.
Keep up the good work
Thank you, Damian!
Exquisite content! Holy grail for RDs and aspiring RDs.Thank you,❤
Thank you so much!
Awesome video, I have no had to work on TPN in years and this helped me understand.
Thank you so much for watching it! I’m happy you found it helpful 😊
You've made it so brief nd easier to understand
Bundle of thanks
thank you for this helpful and easy video illustration however, what if the bag used 3 in 1 .. how to start the feeding and increase gradually if all the solution is all in one bag ?
Hello! Happy to hear you liked the video. This example is for a 3-in-1 bag. In most instances, there is no reason to start slow and increase gradually with a continuous, 24 hour infusion. You can just begin and end at the goal infusion rate.
This video was so helpful. Thank u
Happy to hear you liked it! Thanks for tuning in 🤗
What if the prescription was 1,200 kcal but the available is 1,900 kcal to be transfused for 36 hrs. Hmay I know how we can only gice 1200 kcal
I’m sorry. I don’t quite understand the question. I think I would need additional details to provide an answer.
@@clinicalnutritionuniversity in out hospital, we have a pt who had an order of Kabiven 1,900 kcal per day. How do we complete uye that if the available Kabiven is 1,400 kcal or 743kcal in 1000 ml?
Thanks for the perfect explanation, helpful video👍
Thank you for watching the video! I’m happy you found it to be helpful!
😢😢😢 your the besstttt ! Can't thank you enought. ❤❤❤❤❤❤❤ Much love best page for dietitians
What if the only available is dextrose 25% ??
And how Sterile water to be administered ???
Thank u so much, till now no one can made it easier like this for me. Thanks again
I’m happy to hear you like the way I teach it! Thanks for watching 😊
Sabi boy 😅
Very informative ,thank you so much
I'm glad you enjoyed this one! Thanks for watching it.
can you make a video on how to calculate tpn additives to a formula? (electrolytes and minerals)
Yes I can! It’s going take me a little while to do though. Right now I only have the capacity to publish a video every other week, and I just started working on a new one yesterday 👍🏻
pls i need the calculation on tpn additives to a formula too
Extremely helpful
Thank you ❤️
Thank you for watching it! Happy to hear you found it helpful 🙌🏼
Thanks for the in depth simple take through 🙏😁
You’re welcome! I’m glad you found it helpful!
Bro this is amazing
In my opinion, parenteral nutrition is in the top 3 for most incredible medical advancements in human history. Thanks for watching! 🙏🏼
Awesome 🙏🙏🙏🙏💯💯💯
Keep it up
Thank you! 🙏🏼
Can anyone help me out with PPN
best TPN understanding
Fascinating presentation
Thank you very much, Adel!
What to do if the person is obese?
❤❤❤❤
Thank you so much
thank you, sir, for your kind help
You are most welcome! 🙌🏼
@@clinicalnutritionuniversity can you help me about MMI interview for licensing exam in Canada?
Can you explain the rationale of using mL/kcal (25-30 mL/kg) for fluid calculations in EN prescription but higher fluid of 35 mL/kg in PN calculation?
Great question 👍🏻 The decision wasn’t made because it was EN or PN. I went on the higher end for the PN patient because he recently vomited (fluid loss) and was with inadequate intake for a prolonged period (~1 week). You could do 1 mL/kcal for PN, or you could go higher or lower with EN - It all depends on the case you’re presented with. Admittedly, these cases don’t provide very good explanations for choosing energy/protein/fluid needs. I will have to make specific videos for that in the future!
@@clinicalnutritionuniversity that makes sense! Thanks for clarifying :)
@@clinicalnutritionuniversity Is there any video yet for the Harris-Benedict equation to calculate total daily ?
@@eschultzee I have not created a video for the Harris-Benedict Equation yet, but I can in the future! Thank you for bringing it to my attention 👍🏼