EASY steps to writing the Rate, Glucose, Protein and Fats in NEONATAL TPN- Part II-Tala Talks NICU
ฝัง
- เผยแพร่เมื่อ 10 เม.ย. 2022
- Neonatal Total Parenteral Nutrition: What rate should you start at? How quickly should you advance TPN? What is the maximum protein you can give an infant? Does BUN matter? How much fat do you start at? How high can the glucose concentration go? Learn ALL this and more in part 2 of this series
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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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References:
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**TIMESTAMPS**
01:40 Determine the rate of TPN
08:45 Macronutrients: Carbohydrate
18:08 Macronutrients: Protein
24:04 Macronutrients: Fat
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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.
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Dr TALA your videos are amazing, your explanation is mind-blowing.I too am working in NICU . A request from my side could you please make a video on AEDF AND REDF.
Hello Blessy! Thanks so much for your lovely comments. A video on umbilical flow is an excellent idea- one we didn't have on the list. (Obviously we're not obstetricians- but we would talk more about fetal consequences!) Thank you so much :)
Thank you DR TALA you are a good soul ❤️❤️
@@TalaTalksNICUbe😊😅
I'm from Pakistan,I'm 1st year resident Neonatology, watching your videos , I'm in love with neonatology 💕 thank you
It's the best field! Glad you're enjoying it- and watching our videos too :)
I am a Dietitian from Jamaica, thank you for this video
Hello!!! Thanks so much for letting us know where you’re from and for watching!
I would love a tutorial on Inborn Error of Metabolism and what labs to order/look for! Thank you, love all of your videos!!!
Hello! We are definitely getting around to this (obviously not ALL the enzymes- because we all refuse to learn them and forget them again!)- but general steps and when to be concerned. In our 10K celebration video coming up soon- we go over a few pearls everyone needs to know about IEMs. Thanks so much for commenting and subscribing!!
Love to hear more about insulin drips and sliding scales, as well as, other uses for insulin drips like high potassium. Thanks so much for y’all your videos. They are EXCELLENT!
That is a great idea for a video- also would love to look through recent literature- out of interest!! Thank you so much for watching and commenting :)
Hello. I am from Iran (Persia) and I practice Internal Medicine as my specialty. But generally, I love to learn everything about medicine no matter whether it is NICU, surgery, etc. By the way, thank you so much for your invaluable tutorials.
That's so impressive Dr. Mazhary! It's kind of hard to stay up to date with our own specialties- so it's great you're keeping an open mind! A lot of the information is translatable too, we hope. Thank you so much for your lovely compliment. Hope all is going well for you in Iran- I'm sure, an absolute stunning country.
M a practicing pediatrician from India it's great to see how lucidly the concepts r explained,wish I had ur videos wen I was a pg resident at med school
Ha! It's funny- I think there are so many things I wish we had around during training. World has really changed- in a fantastic way for education, I think. So happy you find these helpful at all- thank you for subscribing and for taking the time to write to us :)
Watching from Malaysia, it's informative and comprehensive to prepare for NICU rotation, TQ :)
Oh so glad you found it helpful- and very impressed you're educating yourself before stepping into the NICU :)
Dr. Tala and team - thank you for these videos! I am using them to help study for RNC - NIC exam coming up soon. Your simplification of these larger concepts has been super helpful. - NICU RN from Portland, OR
That makes us so happy!!! LOVE Portland too. Good luck Craig!
Dr. Tala these videos are so helpful!
I hope you make a video about Omegaven
Ohh that would be good (albeit not very long!!!). We'll def add to the list- thanks so much for being here!
Love it! Awesome video, Super helpful while I am studying for my NNP boards!
So glad they're helpful- we wish you lots of luck in your boards- please let us know when you get the results :)
Greetings, I am watching from the US Virgin Islands! Great job, with the teaching, you rock.
Oh lovely!!! Thanks for your watching and for your lovely comment!
Awesome video as always from you and your team, thanks for making these topics so simple to understand, really appreciate all your hard work
We love your comments! Thanks for continuing to watch- and for realising how long these take! Arianna worked well into several nights on this one! :)
Thanks , From UK . Really explained in simple words .
So glad you found it helpful (always aiming for simple words so thank you for mentioning that too!!)
Love and thanks🙏 from India.
Thank you so much for watching RB! We love hearing where everyone is from :)
Awesome thanks. Tanzania
Oh yay! Tanzania! How gorgeous!! Thanks for watching and letting us know where you're from!!
Amazing videos, they're up to the point, they include the most practical points that we faced in NICU ,many thanks Dr Tala
We’re so glad you think so! Practical help is what we’re really trying to get across! Thanks so much for writing to us :)
Hello. I’m an NNP from Florida. Level 4 busy unit. Thank you for these videos! Requesting a video on the importance of moms own milk - science based related to immune system support. Even oral care with colostrum.
Hello Jayne! We're so happy you're watching! That's an excellent idea for a video, and one we hadn't planned on yet- (helpful for literally anyone!) so thank you so much for your suggestion!
Very good lecture thank you
Appreciate you taking the time to comment! Thank you!
ما شاء الله. بارك اللة فيكم
👍
Thank you!
Thanks 😊
Thank you for watching Cini!
ما شاء اللة. بارك اللة فيكى
Shukran ikteer :)
Nice presentation mam
Thank you so much doctor :)
Awesome video! Please when will the second part be out?
Thank you so much for dedication to teaching
Hi Lotenna! Thanks for your lovely comments! We are releasing the second 'questions asked video' next and then the last part of TPN will be out after that. Hope you'll find that helpful too!
@@TalaTalksNICU thank you! Waiting eagerly
Dr. Tala thanks much for your Practical Teaching.... I hope to speak on PICC Line.... Also. Please put your C.V....on chanel... This when advice any doctors to subscripe.. He will be know high level of Dr. Tala experience
Hello! Thanks so much for your lovely comments!!! We actually filmed a video on PICC lines (but we still need to film one on actually putting one in). This channel is independent of the practice and the hospitals we work for- so we haven't put our resumes up for a reason!! But we have all worked in level 3/4 NICUS for a long time now!!! Thanks so much for watching!! (And ps- I can send you my CV if your'e interested!)
Nice
Thanks!
thank you so much Dr tala ,your videos are so helpful for me, I am a neonatologist from Egypt , I have a question about lipids in TPN...Is there any association between sepsis and lipids? shall we not add lipids to TPN incase of sepsis?
Hello! So happy you’re finding some usefulness in these videos! This is a question we’re always asking ourselves in the unit. We know lipids affect how wbcs and platelets function in the lab- and that in sepsis babies are more likely to get high TG from same level- but usually we continue same dosing through sepsis treatment. Under the logic that we want good nutrition and all the good fatty acids when we’re sick. What do you do?
In our policy we discontinue and stop lipids from TPN when sepsis occur@@TalaTalksNICU
Hi! Thanks for this very informative video on TPN .
Im a pediatric trainee from Malaysia
Would like to get your opinion if the amino acids in the TPN would affect or contribute to metabolic acidosis in a newborn prem baby? Just wondering if it could be one of a cause of persistent metabolic acidosis after ruling out sepsis, dehydration, anemia and pDA.
Thanks
Hello Rachel- this is a great question. theoretically AA can cause metabolic acidosis- but this is less likely than other causes. Not sure if you have cysteine in your TPN- this is more likely to cause acidosis. Most likely (if other more pathologic causes have been ruled out)- it's immature kidneys dumping out too much bicarb- and leaving an acidosis. We need to discuss this more! Thanks for your great question :)
And so happy you're watching from Malaysia :)
I see.. Thanks for the reply Dr Tala
Can you make a video about NAS?
Yes! We really need to do this- also I'd love to find out what the rest of the world does with their withdrawal babies, so hopefully we could start a good dialogue! Thanks!
Good job
direct videos and to the point
I like it.
more of practical guide to NICU resident
by the way
the metabolism of preterm is not that amazing
The extremely high energy he got is directed towards gaining weight as well as basic metabolism
imagine 60 kg adult who adds 10g/kg daily
..that is 600 gram/d or 18 Kg every month...horrible😊
Very good point about the weight gain! ha! Thanks for your lovely comments :)
Dr Ashish Bajaj Bhatinda paediatrician Punjab India
Hello! And welcome! Thanks so much for watching!
Excellent, me HOD pediatric medicine at NMU multan
Pakistan
Oh yay! Thanks for watching and for letting us know Dr. Khan :)
We just rewire our brain to get neonatal informations in english instead of french
Oh I wish my French were good enough to teach neonatal videos!!!