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.
@lindsayanselmo Жыл бұрын
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.
@clinicalnutritionuniversity8 ай бұрын
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
@shannonlehman4208 ай бұрын
This is the best tpn lesson I’ve ever watched. Thank you.
@clinicalnutritionuniversity8 ай бұрын
So glad you enjoyed it, Shannon!
@queentezu85669 ай бұрын
God bless you so much. I have my exam tomorrow and thanks to your lecture, I can proudly solve anything about TPN
@Lizzy_Mor8 ай бұрын
Holy cow this channel is exactly what I’ve needing in trying to better understand our TPN prescriptions! Thank you so much!!
@clinicalnutritionuniversity8 ай бұрын
Happy to hear you’re enjoying the channel! Let me know if you have any questions! - Mitch
@emmaemmasfamilyinnorthwest16492 жыл бұрын
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!
@clinicalnutritionuniversity2 жыл бұрын
Really happy to hear you liked this one, Emma!
@user-nm6wp2cg5y Жыл бұрын
Thanks from my heart! It is really an amazing video. I just watched this and understands the writing of TPN. Thanks again.
@kitashoe97842 жыл бұрын
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 =)
@clinicalnutritionuniversity2 жыл бұрын
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
@echoedwellness6 ай бұрын
Exquisite content! Holy grail for RDs and aspiring RDs.Thank you,❤
@clinicalnutritionuniversity6 ай бұрын
Thank you so much!
@Rubio8722 ай бұрын
Awesome video, I have no had to work on TPN in years and this helped me understand.
@clinicalnutritionuniversity2 ай бұрын
Thank you so much for watching it! I’m happy you found it helpful 😊
@PearlsofMedicalNutrition106 ай бұрын
You've made it so brief nd easier to understand Bundle of thanks
@clinicalnutritionuniversity6 ай бұрын
You’re welcome. Happy to hear you enjoyed it!
@anammirza796 Жыл бұрын
Thank u so much, till now no one can made it easier like this for me. Thanks again
@clinicalnutritionuniversity Жыл бұрын
I’m happy to hear you like the way I teach it! Thanks for watching 😊
@lwasafaizo4892 жыл бұрын
Thanks for the in depth simple take through 🙏😁
@clinicalnutritionuniversity2 жыл бұрын
You’re welcome! I’m glad you found it helpful!
@ayukojong88852 жыл бұрын
This video was so helpful. Thank u
@clinicalnutritionuniversity2 жыл бұрын
Happy to hear you liked it! Thanks for tuning in 🤗
@Anima7e2 жыл бұрын
Extremely helpful! Thank you again. Keep up the good work
@clinicalnutritionuniversity2 жыл бұрын
Thank you, Damian!
@anishachugh3875 Жыл бұрын
Thanks for the perfect explanation, helpful video👍
@clinicalnutritionuniversity Жыл бұрын
Thank you for watching the video! I’m happy you found it to be helpful!
@ant92287 ай бұрын
Bro this is amazing
@clinicalnutritionuniversity7 ай бұрын
In my opinion, parenteral nutrition is in the top 3 for most incredible medical advancements in human history. Thanks for watching! 🙏🏼
@dn.Shanzech3 ай бұрын
best TPN understanding
@adlesal24 Жыл бұрын
Fascinating presentation
@clinicalnutritionuniversity Жыл бұрын
Thank you very much, Adel!
@charithapoonamalli9715 Жыл бұрын
😢😢😢 your the besstttt ! Can't thank you enought. ❤❤❤❤❤❤❤ Much love best page for dietitians
@HDiet432 жыл бұрын
Extremely helpful Thank you ❤️
@clinicalnutritionuniversity2 жыл бұрын
Thank you for watching it! Happy to hear you found it helpful 🙌🏼
@ammarsline9182 жыл бұрын
Very informative ,thank you so much
@clinicalnutritionuniversity2 жыл бұрын
I'm glad you enjoyed this one! Thanks for watching it.
@avencomstock841611 ай бұрын
Do you have more examples with answers? I'd love to practice on my own and check my answers
@jissellerenee42415 ай бұрын
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
@clinicalnutritionuniversity5 ай бұрын
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
@deannaj49045 ай бұрын
Where did the estimated 35 cc/kg amount come from? how was that number derived as well as the estimated energy requirements?
@christineclarke118 Жыл бұрын
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!
@clinicalnutritionuniversity Жыл бұрын
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.
@salh51312 жыл бұрын
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 ?
@clinicalnutritionuniversity2 жыл бұрын
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.
@naziaahmed3717 Жыл бұрын
thank you, sir, for your kind help
@clinicalnutritionuniversity Жыл бұрын
You are most welcome! 🙌🏼
@naziaahmed3717 Жыл бұрын
@@clinicalnutritionuniversity can you help me about MMI interview for licensing exam in Canada?
@raghaddalbah69622 жыл бұрын
Awesome 🙏🙏🙏🙏💯💯💯 Keep it up
@clinicalnutritionuniversity2 жыл бұрын
Thank you! 🙏🏼
@ammarsline9182 жыл бұрын
Thank you so much
@madelinejurek81672 жыл бұрын
can you make a video on how to calculate tpn additives to a formula? (electrolytes and minerals)
@clinicalnutritionuniversity2 жыл бұрын
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 👍🏻
@adebolalawal2646 Жыл бұрын
pls i need the calculation on tpn additives to a formula too
@Nothingtolose112 жыл бұрын
What if the only available is dextrose 25% ?? And how Sterile water to be administered ???
@14latimer2 жыл бұрын
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?
@clinicalnutritionuniversity2 жыл бұрын
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!
@14latimer2 жыл бұрын
@@clinicalnutritionuniversity that makes sense! Thanks for clarifying :)
@eschultzee2 жыл бұрын
@@clinicalnutritionuniversity Is there any video yet for the Harris-Benedict equation to calculate total daily ?
@clinicalnutritionuniversity2 жыл бұрын
@@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 👍🏼
@divinemabandosyt Жыл бұрын
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
@clinicalnutritionuniversity Жыл бұрын
I’m sorry. I don’t quite understand the question. I think I would need additional details to provide an answer.
@divinemabandosyt10 ай бұрын
@@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?
@shubhihans3569Ай бұрын
If someone is underweight than how to calculate energy