Total Parenteral Nutrition for NEONATES including central vs. peripheral TPN -Tala Talks NICU
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- čas přidán 24. 07. 2024
- Learn the fundamentals of TPN. What is it? Who needs it? How is it administered and ordered? And when can you give TPN through a peripheral vein. TPN 101 - Tala Talks NICU
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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**
1:20 General Information about TPN
5:00 When do we use TPN?
6:49 How is TPN administered?
8:46 How is TPN ordered?
13:00 Central vs. Peripheral TPN
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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.
You are awesome! I love all your videos and recommend them to all my colleagues. I listen to your videos over and over to solidify the information. Being a visual learner I am so grateful for these videos:)
That's so great Carolyn! I'm almost jealous of being able to learn like that- I'm so use to reading that I find it hard for new information to 'stick' unless I'm reading and highlighting! So glad these are helping you :)
Thank you Dr Tala for sharing some insights about TPN practice at your facility. Can't wait for next episode.
Thank you so much GM! For watching, for subscribing and for taking the time to comment. We'll be releasing the IDM video next and the TPN part 2 to follow that! Thank you for being here :)
Thank you! I really enjoyed how you explained everything!
Oh fantastic! Thanks so much for letting us know!
So informative, thank you! I’m new to NICU nursing, so these videos really help break down essential pieces of neonatal care. Very helpful! Would love to see a video on types of respiratory support, why one is used over another, and interpreting ventilator and hfov settings :)
Hello Rachel! Congratulations on being in the NICU- we all love it here! We've made a few videos on respiratory support (ventilators/ gases/ HFOV). We are planning more on different modes, but maybe you could start by looking at those ones? Let us know if there's anything you are specifically looking for?
I would love to see how to change TPN lines!
Excellent! We'll try to get a video of an experienced nurse changing the lines (if Arianna refuses! She is the best at it!)
Thank you very much Dr Tala for making these easy and simple lectures for us to understand 🙏
Thank you so much again for watching these videos and for taking the time to comment :)
The audio is good for me!!! Love from Italy
Oh good- we're working on it all! But thank you- and happy you're in Italia!
Thank you, Dr. Tala, for this amazing discussion. I love watching all your lectures. Could you do a lecture on medication management for babies with opioid withdrawal symptoms? Thank you.
Hello! Thank you so much for taking the time to watch the video and for writing to us. We always love your comments! Yes! NAS management is a great topic- and one that has changed recently. Thanks for the excellent suggestion!
Yes please convince her to do a video about the line/tube/fluid change
I'll try!!! We need one!!
Very informative thanks. Waiting for IVH discussion😊
Hello Joe! Thank you for your lovely comment. We have already made a video on IVH- have you seen that already? was there something else we missed in that you'd like us to discuss more.
Amazing, thanks
We're so glad you're still here! Thanks for watching and for commenting!
Please make a video for CHD patient your video is so helpful for us.
Hello! Yes! We are planning a whole series on CHD- we're trying to set up a time for filming!!! Thanks so much for your suggestion!
Would absolutely love to see how to change tpn & smof lines on central lines, specifically uvc lines.. Unfortunately this is done at my facility on days and I work nights, so it’s not something I’m exposed to very often.
yes! Will try to get Arianna on it- she's brilliant at line changes! Thank you :)
Thank you so much, this is very informative and useful information. Please could do a video on different types of venous access, central line, longline, brovaic line and where this lines are inserted into. Also interpretation of blood gases. Thank you so much
Hello Gabby! These are all such great suggestions. We haven't directly filmed these videos but we did one on PICC lines and a few on gases. A video on types of lines is a GREAT idea though. Thank you so much.
very informative. thank you so much. could you please give insight regarding DIC and its management?
Yes! A great idea! We made a video on the coagulation pathways- PT and fibrinogen etc- so maybe start there until we get the actual video out!! Thanks for watching!
Did you ever make a video on changing the lines!? I would really like one!
Oh dear we haven’t done that yet!!! We are starting a whole procedure series at the start of the year so we’ll be sure to include that! Sorry!!!
Thanks
Thanks so much for watching :)
Thank you for the great videos! Is it possible to do a lecture on fetal hydrops sometime in the future? I appreciate all of your help!
Thank you for watching Angela. We are planning a lecture on hydrops soon (after we finish TPN and BPD). They all take longer than expected- so thanks for your patience!!!!
To optimize nutrition ✌️🙏💚
Yes! Definitely to optimize nutrition!
Vey good information
I share your most video with my students like PPTH TGA PDA
If you have a video for preterm baby vaccination
Hello Devina- we're not sure why- but this got thrown into the 'held for review' basket- so we just saw your comment. thank you so much for your lovely words. We will be running a cardiac series this summer :) And we will definitely get around to vaccinations
Was there a video ever done on how to change TPN lines?
Uhm no!!!!! We still haven’t done one! Thanks for the reminder!!!
👏🏻👏🏻👏🏻
Thank you so much!!!
Can we administer intra lipid through PICC line
YES! we often do. Often it's not the issue with the line but with whatever meds are going through with the lipids...
the audio issues are there by the way
SORRY! We're trying to do a better job with that :(
Is dextrose 10%, 25% and 50% a part of TPN
TPN can be written at any dextrose you choose- generally we go down to about D5 (below that we're worried about a GIR
What is Starter TPN?!
Whoops! Should have explained that better- starter TPN is also called vanilla TPN or Admit TPN in the US- and they’re basically pre-prepared or mostly pre-prepared bags with dextrose and protein (and then possibly other stuff like calcium and heparin). Often we use it as soon as a premature baby comes to the unit to make sure they’re getting protein as soon as possible. Do you have something similar?
pքɾօʍօʂʍ 💃
Not sure what that means?!