Have you ever had a patient with a JP drain that has copious amounts of white, odorless liquid emptying from it? This might be a…
Top 5 Things to tell Patients with High Output Ileostomies
Did you know that there are approximately 130,000 ileostomies done per year? More surprising is that 16-50% of these can be classified as “high output”.…
And Just Like That, our Weekend Hours Decreased, PN Version
Unnecessary Labor Like many dietitians who work in small community hospitals, it has become not only safer but also easier for the RD to be…
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…
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…