2 brilliant FLUID/FEED equations you'll use every day in the NICU- Tala Talks NICU
ฝัง
- เผยแพร่เมื่อ 9 ก.ค. 2024
- Want to QUICKLY calculate initial fluid rates? Or rapidly estimate what a baby needs to eat every 3 hours at full volume?? Watch this video, and then thank us for saving you so much time!!!!!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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**TIMESTAMPS**
00:40 Estimate initial fluid rate
03:17 Estimate full volume feeds
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
This is brilliant!! Thank you so so much for sharing! I especially love the full feed equation to quickly determine feeding volumes. I just love your channel and recommend it to everyone! Thanks again!
Oh yay! Thanks so much Kellie! Glad so much that these help- and thanks so much for your general support- we really appreciate it!
Super helpful!! I’ve been doing this for 16 years and I never knew these quick calculations!
HI COURTNEY! That's on me! You're so good without little shortcuts that you don't need it :)
I always look forward to your very helpful videos. 🙂👍
Thank you so much Sarah! We hope you find the estimates as helpful as we do! :)
Your videos are always so helpful, thanks to you and your team for all the amazing videos and all the best for the holidays and a very happy new year
Thank you so much Naitram! We love your comments so much!! And you too- we hope you have a peaceful holiday and a happy and healthy New Year. When you're in the unit over the break, we hope everyone behaves :))
Always loving the simple tips and tricks!
So glad you find them helpful- thanks for writing!
Amazing as usual
Many thanks
Thank you so much for continuing to watch and send us your encouraging comments!!! Hopefully this helps- (if you don't already use them!)
Thanks, very great and practical
Thank you so much Nicole! Happy New Years :)
Great equations. Esp the second one(feeding one). Very practical..
I love it Dr. Hassan! I use it every day! Thanks a lot again for continuing to give us your support :)
This is brilliant thank you very much really appreciated
Oh thank you!!! Thanks for taking time to comment :)
Thank you!!!!
You're so welcome! Thanks for watching!
Thank you very much, really your explanation is easy and reaching alot of information at the same time ❤
What a lovely comment- thank you so much for being here!
this was so useful! I just started my neonatology rotation and all the fluids calculations confused me a lot, especially since I'm bad at anything involving math. But this made it so much easier and even fun to practice.
thank you so much for making this great video💓
Abeer! I'm going to stop you right there! YOU ARE NOT BAD AT MATHS!!! To get to where you are means you have an excellent understanding of numbers and maths. Every time you say that to yourself, you will believe it more! Somebody must have told you that when you were young and now it's become a fact in your mind!!! So from now on- think- "I've got this, it's easy" (because when you understand it- it really IS easy!!). Thank you so much for writing in and watching these videos! Let me know how your studies go!!!
I would love equations and tips/tricks for ETT depth insertion, UVC/UAC insertion if you had those up your sleeve. This one was a brilliant one too! Your channel and SNL are the only reasons I come to youtube!
Ha! Like Saturday night live? Completely agree then! Ha! I think we’re going to do a quick nicu equation one soon - so let us know if there are specific ones you want us to include! Thank you!!
@@TalaTalksNICU Yes! Sat night live and Tala Talks! Would love equations on quickly assessing how far ETT needs to go depending on weight/GA of infant, UVC/UAC insertion depth. If you have any more procedural tips/tricks that would also be awesome. :)
Thank you :)
Thank you for watching and for being here, Cristoph :)
Thanks a lot
Thank you so much for watching and commenting!
Great ❤
Thank you so much!!!
Thank you so much for these videos they are so helpful! I just had one quick question I’m not sure how to know that rounding it up to 4 is about 80 ml/kg/ day? Or that rounding it down to 3 is about 60 ml/kg/day of fluids, I did understand why multiplying it times 3 is about 72 ml ( because you multiplied 24 hrs in a day x3 and that gives 72ml) but when I try doing it with the other values it doesn’t come out to the numbers you had, I’m so sorry if I missed something in the video, I’m just confused with that part. I really appreciate in advanced your help!
HA excellent point Rebeca!!! We were just trying to make the point that it's a really ROUGH calculation to start something / anything! until you get around to doing the exact calculation you want. So if it's a micropreemie- round up- or even randomly add 0.5ml/hr, and if it's a full-term baby, round down or subtract an ml/hr or so. Sorry if that was confusing!!!!
Hey Tala, I am new to NICU nursing and was recommended your channel. I have been binge watching since! You are awesome. I just have one question. I cannot figure out how you got 80mL/Kg/day on a 1.2k baby when the 3kg baby gets 72mL/Kg/day. Did I miss something?
Thanks so much for the lovely compliments!!!! So I was just making the point that in little babies I'll multiply by 3 and then round up. So instead of running at 3.6ml/hr (1.2 X3) I'd randomly round up to 4ml/hr. This would give more than 72ml/kg/day which we would want in preemies. In full term babies we'd want to round down. (Just to emphasize, this is just to get something running until somebody sits down and calculates exactly what is needed!) So glad you're here :))
I still do not get it but I'll keep trying. I ❤️ this channel!
Hi dr, if baby is on TPN, with npo, dr decide to start Feeds, is it ok to adjust Tpn rate from TFI?
Hello! Great question! It really depends how much you’re changing the feeds. If only going up a little then generally the provider will account for feeds with new bag of TPN. But if starting back at half volume feeds or whatever then we’d probably want to adjust rate.
@@TalaTalksNICU thanks dr. ♥️
U have any formula for calculating day 1 day 2 feeds instead of full volume feeds
generally- on thefirst day infants are given anywhere between 10-30ml/kg, and on the second day- between 10-50ml/kg. This is a wide variation- so I just do the maths! Sorry
If we are giving 2 hrly feeds ,then modify the calculation?
I’ve tried so hard to come up with something!! But I can’t! Let me know if you do- something truly easy! Everything I’ve done used decimal points!
Where did you get the 160 from?
Hello Nicole- this is a good question! In many units in the US- we generally increase the total feed volume up to about 150-160ml/kg/day. (Higher side if enteral, lower side if IV). At this volume, we can normally give the calories a baby needs to grow (between 20-26kcal/kg/day depending on the baby)
Hi mam am an engineering student and we got project to build any prototype which will help in NICU.so we came through this "Design and develop a syringe with
integrated sensors and technology
that can accurately calculate and
display the amount of feed for a
baby. The syringe should consider
factors such as the baby's age and
nutritional needs to provide precise
measurements. The goal is to
simplify the feeding process for
caregivers and ensure accurate and
efficient feeding for the baby."
What is ur opinion about this idea mam .
Hello!!!! I’m so happy that you are doing this! What a great project! Honestly we are so used to calculating every day how much a baby should eat/ calories etc that I don’t think that calculation would help me much. Maybe a feeding tube that changes color when hits the pH of stomach. Or a tube that slows down feel if milk sitting in stomach (so feed would be over say 90 minutes instead of 60 to allow milk to leave stomach). Or some sort of tube that allows aeration of stomach while baby on Cpap but also feed at same time?!!! Lots of issues we have with feeds!!! Good luck!
@@TalaTalksNICU tq mam
Why you multiplied by 3
There are 24 hrs in a day- so if we multiply by 3- we end up having 72ml/kg/ day for initial fluids.