Nutrition in critically ill patients, a comprehensive guide!

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Nutrition in critically ill patients, a comprehensive guide!

Рет қаралды 5,930

Күн бұрын

Learn how to prescribe enteral nutrition (tube feeding) in critically ill patients, we will discuss when to initiate enteral nutrition in critically ill patients, types of nutrition, contraindications to enteral nutrition (tube feeding), different types of tube feed formulas, how to select the most appropriate formula, Enteral Feed Calculations: Standard Formula, how to calculate how much protein and free water required, how to give the nutrition, and finally how to monitor the patient once tube feeding initiated.

Пікірлер: 20

@mohammedasiri7507 2 жыл бұрын

Brilliantly explained. I am a trauma critical care surgeon. I found your videos very educational for my trauma surgery residents. Keep up.

@Hospitalista 2 жыл бұрын

Happy to hear that! Very glad you found the content useful to you.

@dr.abdullah8717 3 жыл бұрын

Very interesting Covering the topic perfectly Thanks Dr

@magedali4081 3 жыл бұрын

Would you mind if making lecture on how to use and to calculate insulin dosage for diabetic patients and how to start and to switch between different insulin regimens in practical way Can you highlight on new ADA guidelines U r the best 👍

@magedali4081 3 жыл бұрын

Very nice 👍 Plz keep up practical tips 😁 Thx

@roshu4557 3 жыл бұрын

Nyway nyc explanation sir

@yijiecheng6333 2 жыл бұрын

A very good reason to consult a dietitian is that their only job is to feed pts so they monitor closely and doctors can focus more on other stuff. From my knowledge, no doctor will spend time doing calorie counts from PO or setting up excel sheets to calculate TF goals and percent goals being met. I agree that patients will not starve to death but they are for sure at high malnutrition risk losing tons of weight d/t illness and not being fed well, and this can lead to more trouble. My opinion is that dietitian are just not treated well enough in the clinical setting.

@Hospitalista 2 жыл бұрын

I can’t disagree with you, I always consult our dietitians whenever available, remember dietitians are not always available!

@13levels 2 ай бұрын

two questions sir, why is volume depletion a concern to start enteral feeding? and why shouldn't i start enteral feeding till the 3rd day of icu admission?

@user-ip9bp5hs5d 10 ай бұрын

Thanks Dr.. and I would like to ask if we can give this much free water even when pt on IV fluids?? please answer me, Thanks

@Hospitalista 10 ай бұрын

Thanks for reaching out! The amount of free water should be guided by the patient Na level. And yes you can give as much as you can if free water as long as you are monitoring sodium yo Aboya y acute drop in Na

@user-ip9bp5hs5d 10 ай бұрын

دكتور شكراً لردك بس عشان اكون متأكدة اكثر .. أسمك د. ماهر إن شاء الله عربي وتفهم مقصدي وسؤالي.. دكتور نفترض المريض يحتاج ٢٠٠٠ مل سوائل .. راح يوصله من الفيد ١٤٠٠ مل وتر يتبقى ٦٠٠ مل >> قسمة ٦ >> ١٠٠ مل كل ٤ ساعات.. ممتاز؟ ممتاز طيب غالباً مرضى العناية بيخادوا ادوية IV وتعتبر سوائل تصل إلى ٥٠٠ مل او اكثر باليوم .. هل في هذه الحالة يفضل اقلل الووتر فلشز؟ شكراً وعذراً عالاطالة

@Hospitalista 10 ай бұрын

@user-ip9bp5hs5d أهلا بسمة، هناك فرق ، نحن نتكلم عن ماء free water, هذه السوائل جلها لا مصنوع من ماء وأملاح فلا تحسب من كمية الماء. تذكري انه الواحد منا ممكن يشرب لتر ماء هرة واحدة إذا أراد وكذا المريض لكن توزيعها على ٢٤ ساعة ليس خطأ

@user-ip9bp5hs5d 10 ай бұрын

اذاً يجب ان اغيّر المفهوم عندنا في ال ICU اذا كان المريض بياخذ سوائل عن طريق الوريد نقلل الوتر فلشز مؤقتاً لتجنب الأوڤر لوود.. لكن ما فهمته منك ان السوائل IV لا تحسب من ضمن احتياج السوائل للمريض... شكراً د. ماهر جزاك الله خير

@Hospitalista 10 ай бұрын

@user-ip9bp5hs5d IV fluids don’t equal free water. Free water by itself will never cause fluid overload, sodium-containing IV fluids are the ones that can cause volume overload if given excessively

@roshu4557 3 жыл бұрын

Sir,from where does 54 for protein And 0.7 for free water come in example?

@Hospitalista 3 жыл бұрын

The manufacturer label

@13levels 2 ай бұрын

two questions sir, why is volume depletion a concern to start enteral feeding? and why shouldn't i start enteral feeding till the 3rd day of icu admission?