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Clinical Nutrition University
United States
Приєднався 22 тра 2021
Made by a dietitian. Built for dietetic interns and new dietitians.
This channel is for educational purposes only.
It is in no way intended to serve as a way to diagnose or treat medical conditions, and does not serve as a substitution for personalized care from a physician or registered dietitian 🙏🏼
NEW BOOK: cnu.sellfy.store/
This channel is for educational purposes only.
It is in no way intended to serve as a way to diagnose or treat medical conditions, and does not serve as a substitution for personalized care from a physician or registered dietitian 🙏🏼
NEW BOOK: cnu.sellfy.store/
Hyponatremia, Part 1 | Pathophysiology and Etiologies
NEW BOOK: cnu.sellfy.store/
ALSO ON AMAZON: a.co/d/6C6lXGa
This video provides an overview of the pathophysiology and etiologies of hyponatremia.
Hyponatremia is defined as a serum sodium level less than 135 mEq/L.
It’s a common issue that dietitians face in the inpatient setting because it’s inextricably tied to derangements with fluid/electrolyte balance in the body.
Some interesting and helpful miscellaneous topics that appear in the video are heart failure, cirrhosis, adrenal insufficiency, syndrome of inappropriate antidiuresis (SIAD), diuretics, and hyperproteinemia
_____________________________________
✨ Make sure you check out my store: cnu.sellfy.store/
📩 Subscribe to @clinicalnutritionuniversity so you can continue to build your knowledge and skills
📸 Follow me on Instagram: mitchellzandes
_____________________________________
📚 Chapters for this video:
0:00 Hyponatremia
0:38 Review of fluid/electrolyte balance
2:18 Hyponatremia vs. hypernatremia
3:39 Pathophysiology of hyponatremia
4:36 Introduction to etiologies of hyponatremia
6:50 Hypervolemic hypotonic hyponatremia (renal failure, heart failure, cirrhosis)
8:55 Hypovolemic hypotonic hyponatremia (vomiting, diarrhea, sweating, adrenal insufficiency, duretics)
13:30 Euvolemic hypotonic hyponatremia (SIAD, excessive water intake, low-solute diet
16:56 Hypertonic hyponatremia (translocational hyponatremia)
18:40 Isotonic hyponatremia (pseudohyponatremia)
19:45 Hypokalemia and hyponatremia
This video is for educational purposes only. It is in no way intended to serve as a way to diagnose medical conditions or become a replacement for individualized care from a physician. 🙏🏼
Thank you for supporting my work on UA-cam! 🙌🏼
#clinicalnutrition #dietetics #hyponatremia
ALSO ON AMAZON: a.co/d/6C6lXGa
This video provides an overview of the pathophysiology and etiologies of hyponatremia.
Hyponatremia is defined as a serum sodium level less than 135 mEq/L.
It’s a common issue that dietitians face in the inpatient setting because it’s inextricably tied to derangements with fluid/electrolyte balance in the body.
Some interesting and helpful miscellaneous topics that appear in the video are heart failure, cirrhosis, adrenal insufficiency, syndrome of inappropriate antidiuresis (SIAD), diuretics, and hyperproteinemia
_____________________________________
✨ Make sure you check out my store: cnu.sellfy.store/
📩 Subscribe to @clinicalnutritionuniversity so you can continue to build your knowledge and skills
📸 Follow me on Instagram: mitchellzandes
_____________________________________
📚 Chapters for this video:
0:00 Hyponatremia
0:38 Review of fluid/electrolyte balance
2:18 Hyponatremia vs. hypernatremia
3:39 Pathophysiology of hyponatremia
4:36 Introduction to etiologies of hyponatremia
6:50 Hypervolemic hypotonic hyponatremia (renal failure, heart failure, cirrhosis)
8:55 Hypovolemic hypotonic hyponatremia (vomiting, diarrhea, sweating, adrenal insufficiency, duretics)
13:30 Euvolemic hypotonic hyponatremia (SIAD, excessive water intake, low-solute diet
16:56 Hypertonic hyponatremia (translocational hyponatremia)
18:40 Isotonic hyponatremia (pseudohyponatremia)
19:45 Hypokalemia and hyponatremia
This video is for educational purposes only. It is in no way intended to serve as a way to diagnose medical conditions or become a replacement for individualized care from a physician. 🙏🏼
Thank you for supporting my work on UA-cam! 🙌🏼
#clinicalnutrition #dietetics #hyponatremia
Переглядів: 598
Відео
Hypernatremia (Summary)
Переглядів 6712 місяці тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa Link to full lecture: ua-cam.com/video/fz7xCZosANs/v-deo.html #clinicalnutrition #MNT #hypernatremia
Hypernatremia | Pathophysiology, Etiologies, Consequences, and Treatment
Переглядів 1,6 тис.2 місяці тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video reviews various aspects of hypernatremia, including the pathophysiology, etiologies, consequences, and treatment. Hypernatremia is defined as a serum sodium level greater than 145 mEq/L. It’s a common issue that dietitians face in the inpatient setting because it’s inextricably tied to derangements with fluid/electrolyte bala...
Diet Progression After Bariatric Surgery
Переглядів 8154 місяці тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video discusses diet progression after bariatric surgery. I explore the different stages of of the post-surgical diet, including clear liquids, full liquids, semisolids, and soft solids. I also review the various nutrition recommendations that coincide with each stage, such as fluid/protein recommendations and eating behavior. ✨ Ma...
Micronutrients and Bariatric Surgery
Переглядів 8155 місяців тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video discusses how bariatric surgery changes micronutrient digestion and absorption. I explore the micronutrients that are most affected - vitamin B12, iron, calcium, and vitamin D. I also review the basic principles of preoperative and postoperative laboratory monitoring, as well as guidelines for prophylactic micronutrient suppl...
How Bariatric Surgery Works
Переглядів 1 тис.8 місяців тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video discusses the mechanisms of action for bariatric surgery. I look at the traditional classification of bariatric surgeries as restrictive, malabsorptive, or combined, and then I expand the conversation to include the changes in gastrointestinal hormone secretion, bile acid metabolism, and the gut microbiota. If you would like ...
5 Types of Bariatric Surgery
Переглядів 2,1 тис.9 місяців тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video provides an overview of 5 types of bariatric surgery. I spend the most time looking at the sleeve gastrectomy and Roux-en-Y gastric bypass, but I also explain the one-anastomosis gastric bypass, duodenal switch, and single anastomosis duodenalileal bypass with sleeve gastrectomy, which is often referred to as the SADI-S. If y...
How to Prevent a Feeding Tube Clog
Переглядів 2,5 тис.10 місяців тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video discusses how to prevent a feeding tube clog. It starts with a list of the 4 mains reasons why feeding tubes get clogged. Then it dives into an explanation for why the clog occurs and solutions to prevent the clog from happening. A feeding tube clog is a common complication of feeding tubes that is usually preventable and is ...
How to Unclog a Feeding Tube
Переглядів 8 тис.11 місяців тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video teaches you how to clear a clogged feeding tube in the hospital setting. It begins with a review of what the American Society for Parenteral and Enteral Nutrition recommends in their 2017 publication ASPEN Safe Practices for Enteral Nutrition Therapy. Then it goes over some of the common mistakes I've seen nurses make when tr...
Diabetes-Specific Tube Feeding Formula in the ICU
Переглядів 2,5 тис.Рік тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video discusses the use of diabetes-specific tube feeding formula in the ICU. It begins with a review of the potential advantages and disadvantages of this type of tube feeding formula. Then it goes over some of the body of literature on this topic and the position of the American Society for Parenteral and Enteral Nutrition (ASPEN...
When to Begin Tube Feeding After Gastrostomy Placement
Переглядів 2,2 тис.Рік тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video teaches you about when it is safe to begin tube feeding after a gastrostomy is placed. It begins with a review of the evidence to support early tube feeding after gastrostomy placement. Then it transitions into an investigation of the various benefits associated with early feeding after gastrostomy. If you would like a PDF of...
How to Transition from Tube Feeding to Oral Feeding
Переглядів 6 тис.Рік тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video teaches you how to transition a patient from tube feeding to oral feeding. It begins with the introduction to a case study in which the patient presented with hepatic encephalopathy and was started on continuous tube feeding. Then it transitions into a step-by-step process for determining if the patient is a candidate for a s...
How to Transition from Continuous to Bolus Tube Feeding
Переглядів 4,2 тис.Рік тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa This video teaches you how to transition a patient from a continuous enteral infusion to a bolus feeding regimen. It begins with the introduction to a case study in which the patient had a stroke and was started on continuous tube feeding. Then it transitions into a step-by-step process for switching them over to bolus feeding. ✨ Make s...
Postoperative Diet Advancement
Переглядів 2,2 тис.Рік тому
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa 👉🏼 Review Paper for this video: cnu.sellfy.store/p/postoperative-diet-advancement/ This video provides an overview of postoperative diet advancement. It begins with a comparison of the traditional approach and the modern approach. Then it explores the issues with traditional approach, possible advantages of the modern approach, and the ...
Chyle Leak | Emphasis on Diet/Nutrition
Переглядів 5 тис.Рік тому
Chyle Leak | Emphasis on Diet/Nutrition
Parenteral Nutrition: Electrolytes, Trace Elements, and Vitamins
Переглядів 8 тис.Рік тому
Parenteral Nutrition: Electrolytes, Trace Elements, and Vitamins
Protein Needs: Cirrhosis and Chronic Kidney Disease
Переглядів 7 тис.2 роки тому
Protein Needs: Cirrhosis and Chronic Kidney Disease
Introduction to Protein Needs in Disease States
Переглядів 3,1 тис.2 роки тому
Introduction to Protein Needs in Disease States
Ileostomy and Colostomy | Emphasis on Diet/Nutrition
Переглядів 38 тис.2 роки тому
Ileostomy and Colostomy | Emphasis on Diet/Nutrition
Diverticular Disease | Emphasis on Diet/Nutrition
Переглядів 71 тис.2 роки тому
Diverticular Disease | Emphasis on Diet/Nutrition
I had to have 1/3 of my stomach removed because of ulcers were so chronic they were eating my stomach away and now I have early dumping syndrome and it’s horrible 😂😂
Summary: Never go on a prolonged fasting ffs
I just got a little depressed when I realized you do not have an IBD video. I loooove your videos since I am currently studying for the RD exam. Would love to see you touch on this mnt topic :)
Hamwi is my last name…
How delusional or malevolent you guys are to suggest a bariatric surgery for weight loss, but than feed the patients same sugary crap that made him fat in the first place!
Spinach, yogurt, water smoothie. Every damn day. Its awful
I always appreciate a new upload! Thank you!!!
You’re the best! Thank you so much!! 🙏🏼🙌🏼
best TPN understanding
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa ________________________________ This video was recorded at a speed to accommodate all learners. If you're a fast learner, listen at 1.25x or 1.5x by adjusting the playback speed under Settings.
Very helpful video.
Thank you for watching it!
Veryyyy good. My first job as a LPN may be with tube feeding patients and this helped me soooooooo much thank you. I can listen to you for hoursssssss
So happy to hear you found this helpful! Thank you for watching! 🙏🏼
Thank you 🙏
You’re welcome! Thank you for watching!
This is actually the most helpful explanation I needed because I'm trying to make a story with a medical plot as accurate as possible.
So happy to hear you found this helpful! Thank you for watching! 🙌🏼
Funny, I was watching it because I was listening to a book where they said the doctor was going to take out a long term feeding tube by just pulling it out, no surgery or anesthesia...I wanted to check the reality of that because it sounded unbelievable to me. I still do not really know, but based on the vids I've watched it seems unlikely....that is disappointing....I could be wrong though. Thanks for a well informed video though, excellent job!
nice!
very helpful, thanks!!!
What about acitrom should we follow vitamin -k restricted diet
Thank you for your valuable ideas👍
Thanks for the explanation Question: Can i use the same calculation formula , but writing a prescription for bolus feeding?
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 - ua-cam.com/video/qCoGWhBaasE/v-deo.htmlsi=3HBJ60g520AhewWb
Have tried it all. Nothing beats mk677/ibutamoren
At 11:07 you mentioned lowering the ph of gastric contents as sonething that may increase GERD. Does this mean that even drinking water during meal times may increase the risk of GERD. From what I understand, water is about a ph of 7 and HCL is about 1.1. I would imagine drinking water would also lead to an increase in pH. Let me know what you think! Thanks!
This landed me in the E.R. two years ago while I was about 8% bodyfat, on the Carnivore diet. They misdiagnosed me as having Respiratory Alkylosis. This is mainly because I was so bad, I could hardly talk to explain my history. Interestingly enough, my health has beed declining ever since that day. I'm about 25 lbs heavier and probably 25% body fat. I've been working on trying to find out what is wrong since none of my 5 doctors can. One of my symptoms is that I fall asleep right after my first meal of the day, around 2PM. Two weeks ago, I figured it out. I've got low Thiamine! I've been taking mega doses of Thiamine for 2 weeks and my health has taken a 180 for the better. Here's the kicker. 9 months ago, I was sure that I had low Biotin. I had my doctor run a full B panel only to find out that I was wrong. When I realized that my Thiamine was the problem, I went back and looked at the results. My Thiamine was 185. That's really high. This just goes to show you that blood serum vitamin levels don't always tell the whole story. I'm not fully recovered yet but better every day. If I take Thiamine before my first meal, I don't fall asleep. If I dont, my first meal still knocks me out.
I am dietitian eligible at a LTC facility and I take my exam May 9th
anxiety meds helped me.. but the low fiber causes so much other problems.. im suposed to use fiber additives which also causes other problems
Where did the estimated 35 cc/kg amount come from? how was that number derived as well as the estimated energy requirements?
Can you talk about hyponatremia and other electrolytes imbalances? This topic is interesting
Absolutely! That is the plan. I’ve been working on hyponatremia the past few days. Will probably have the video done in 2-3 weeks.
@@clinicalnutritionuniversity perfect! And if i want to go deeper on this topic as a dietetic student what do you suggest? Is there a book or something else that i should look for?
@@matteo4605 if you have access to it, Springer Nature has a textbook called Fluid, Electrolyte, and Acid-Base Disorders that I think is quite nice. Beyond that, I don’t know any good books that cover all the relevant topics. I usually just find individual review articles for each one.
What about initiation rates? do you also have a video on this?
Very nice information 🌹
Thank you!
Great teaching thank you so much!
Hey Mitchell, just wanted to tell you that your videos are amazingly done, very informative, clear and simple too understand! I love how your videos look as well! Soon I am starting my internship at a rehabilition center here in Slovenia, Europe and your videos helped me to rewake my knowledge and passion for nutrition. Today I just finished my 2 week marathon of your videos, loved every second of it. Hope you're doing well and I can't wait for more of your content :)
Congrats on making your way all the way through them! I’m so glad you enjoy my work and I thank you for the support. I’ll have a video out on hyponatremia as soon as I can.
Amazing videos as usual! Thank you soo much for creating them
Glad you enjoyed it! Thank you for the positive feedback! 🙏🏼
Great video! Thanks 😊
So glad you enjoyed it. Thanks!
NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa ________________________________ This video was recorded at a speed to accommodate all learners. If you're a fast learner, listen at 1.25x or 1.5x by adjusting the playback speed under Settings.
Omg THANK you for pointing out that less than or equal to 75% thing. I have been trying to process that for some time now and I thought for sure i was not thinking about it correctly. Your videos are AMAZING. Thank you thank you thank youuuuu
Haha you’re welcome! It really is confusing. I’m not sure how it hasn’t been corrected yet! Happy to hear you’re enjoying the channel. 😊
Sorry, struggled to listen to this. You sound as though you’re totally bored with the material, which is actually quite interesting.
The good news is you don’t have to watch it. There is plenty of free information about gastroparesis on UA-cam for you to enjoy.
Thank you!
You’re welcome!
Thank you so much for this valuable information. I learnt a lot. 😊
You’re welcome. Happy to hear you enjoyed it