Pls continue to talk slowly, its the way that I am able to follow your teaching. You are amazing. Thank you sooooo very much for this channel.

This makes me so happy! So glad you're finding the content helpful. Let me know if you run into any issues that you have questions about! 😊

Thank you so much! I’m so happy to hear you are finding my videos helpful 😎

I agree! I don’t calculate feedings often…this was a great step by step video! Thank you!

So happy to hear you’re enjoying the channel! Thank you for watching! 🙏🏼

Thanks for watching, Fatima! So happy to hear you’re enjoying the videos! 😊

I agree that the steps make it easier to understand! Thanks for tuning it and letting me know you found it helpful 🤗

Hey Hiba! I’m happy to hear you enjoyed the way this was presented. Thank you for tuning in to CNU 🤗

Happy to hear you found it helpful and easy to understand. That’s what I am for!

You’re welcome! Happy to hear you enjoyed it 😊

Thanks for watching! There are some similarities, but you will definitely want to check out my video on bolus feeding to make sure you catch all the differences/nuances - kzfaq.info/get/bejne/p6mferqZp8fFo3k.htmlsi=3HBJ60g520AhewWb

The 55 g/L was just a number I made up for the example. In practice, the manufacturer of the formula (i.e. Nestle or Abbott) will provide all of the information for the nutritional composition. All you need is the name of the formula and you should be able to track down the grams of protein, % of H2O, concentration of vitamins/minerals, etc.

Thank you so much 😊

Thanks for watching!

For a patient like this - who is being started on enteral feeds for the first time - yes. I would have the nurse start at 30 mL/hr and then increase 10-15 mL/hr every ~4 hours to goal. But for a patient who has a recent history of tolerating feeds at goal - like a tube fed-dependent patient who presents for an unrelated issue - then I would recommend starting at the goal rate.

I promise you that I’m making them as fast as I can! I wish I could do it faster! 😅

Do you know the answer to this question yet please? Thank you

Not necessarily. In some situations you may consider that, especially if you feel their body size is affecting nursing care and quality of life. But in other situations - like if a patient has cirrhosis or is on dialysis - being of a larger body size may actually be protective. Each patient must be considered on a case-by-case basis!

@@clinicalnutritionuniversity Thank you so much! I appreciate the reply. God bless 🤍

Since the formula is 81% H2O, the regimen of 1920 mL formula per day (80 x 24) gives 1,555 mL of H2O. Add 750 mL to that for free H2O flushes, and you have 2,305 mL H2O per day. In therms of finding the % H2O formula, that information is always published by the manufacturer. You can find it on their website, or in most hospitals, it will be written on a formulary card that’s given to the dietitians.

@@clinicalnutritionuniversity When taking 1,920mL x (.81 x .01)=15.552 How did you convert 15.552 to 1,555mL?

@@mindfulhoneyhealth2182 I see where you’re getting confused! It would be 1920 x .81, or 1920 x (81 x .01). Not 1920 x (.81 x .01)!

@@clinicalnutritionuniversity Thank you!

Hey Sarah! You would have to get a registered dietitian to perform a full nutrition assessment on your father. I cannot determine the rate he needs just based on his medical condition and the type of formula he receives.

Intubated? Intubation does not mean you must avoid fiber! However, sometimes during critical illness - particularly when there’s a high pressor requirement - clinicians will avoid fiber to minimize risk of bowel ischemia.

Without knowing the full details of the case or running any numbers myself, it sounds like the formula doesn’t provide an adequate amount of protein to meet the estimated need. In this case, you would either need to add a protein modular (i.e. Beneprotein or Pro-Stat) to increase the number of grams provided each day, or you would need to switch to a different formula that can satisfy both the estimated energy and protein need.

Thats what i assumed i would have to do but i wasnt sure cuz not recahing that goal for protein was measing me uppp! Literally u are such a blessing sir

That would totally depend on how much intravenous fluid the patient is receiving and would need to be discussed with the interdisciplinary team!

@@clinicalnutritionuniversity thankyou for your answer 🤓 didnt expect you replied that fast.

@@jedyalucas4684 You’re welcome! Wish I could give a better answer. You’ll always want to factor fluid received from IV fluids. But the goal is to have your patients off of IV and receiving 100% of their fluid and electrolyte needs through the enteral feeds.