Last year, my facility changed from making only custom 3:1 TPN solutions mixed by the pharmacy to having pre-mixed bags of TPN to use primarily…
Vitamin and Mineral Supplementation after Gastric Bypass in the Hospitalized Patient
This is from a continuing education project that I did last year. I heavily referenced this article from the University of Virginia. We have had…
Supplementing Electrolytes in Specialized PN
I came across an exceptional article many years ago. This guide assists me for supplementing PN when it is being compounded by our pharmacy. It…
How to convert Milliequivalent to Milligrams for Nutrition Support
There have been many times over the years when a PCP has asked me “how many milligrams of (__) per day is this patient receiving…
Protein Needs for the Hospitalized Patient with Kidney Disease
Call the Nephrologist! This patient has an elevated BUN and creatinine, decreased urinary output and is critically ill! Many patients in the icu will have…
Refeeding Syndrome
Has Refeeding Syndrome become more prevalent. It seems that more and more patients that are started on PN or enteral feeds, have marked electrolyte disturbances,…
Update: How Many Calories
regarding updated literature on feeding critically ill patients In the previous post, I discussed relying heavily on the Penn State Equation to assess energy needs…
How many calories?
How many calories should we feed our acute care patients? It is the biggest question we face when we are assessing what we are going…
My Favorite Tube Feeding
In my years of working in the ICU, I can say that I have one favorite type of tube feeding that I find to be…
Introduction
Sorry this is so short! This is me An introduction Hello, I just wanted to start a blog to improve my writing skills. This is…