Total Parenteral Nutrition for NEONATES including central vs. peripheral TPN -Tala Talks NICU

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.

Пікірлер: 54

  • @melh_3466
    @melh_34662 жыл бұрын

    I would love to see how to change TPN lines!

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Excellent! We'll try to get a video of an experienced nurse changing the lines (if Arianna refuses! She is the best at it!)

  • @oceanmiss91
    @oceanmiss912 жыл бұрын

    Thank you Dr Tala for sharing some insights about TPN practice at your facility. Can't wait for next episode.

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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 :)

  • @carolyngoodson8388
    @carolyngoodson83882 жыл бұрын

    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:)

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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 :)

  • @rachelsprague534
    @rachelsprague5342 жыл бұрын

    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 :)

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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?

  • @fewdaysmukupa588
    @fewdaysmukupa5882 жыл бұрын

    Thank you very much Dr Tala for making these easy and simple lectures for us to understand 🙏

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Thank you so much again for watching these videos and for taking the time to comment :)

  • @lakohadavis7214
    @lakohadavis72146 ай бұрын

    Thank you! I really enjoyed how you explained everything!

  • @TalaTalksNICU

    @TalaTalksNICU

    5 ай бұрын

    Oh fantastic! Thanks so much for letting us know!

  • @pinetinav9083
    @pinetinav90837 ай бұрын

    The audio is good for me!!! Love from Italy

  • @TalaTalksNICU

    @TalaTalksNICU

    7 ай бұрын

    Oh good- we're working on it all! But thank you- and happy you're in Italia!

  • @monjidibrahim1168
    @monjidibrahim11682 жыл бұрын

    Amazing, thanks

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    We're so glad you're still here! Thanks for watching and for commenting!

  • @joelea6667
    @joelea66672 жыл бұрын

    Very informative thanks. Waiting for IVH discussion😊

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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.

  • @wparsa
    @wparsa2 жыл бұрын

    Thanks

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Thanks so much for watching :)

  • @ThuyLe-dg2iu
    @ThuyLe-dg2iu2 жыл бұрын

    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.

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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!

  • @sherinea4574
    @sherinea4574 Жыл бұрын

    Yes please convince her to do a video about the line/tube/fluid change

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    I'll try!!! We need one!!

  • @nadarali5570
    @nadarali55702 жыл бұрын

    Please make a video for CHD patient your video is so helpful for us.

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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!

  • @jampellhendrup1376
    @jampellhendrup13762 жыл бұрын

    To optimize nutrition ✌️🙏💚

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Yes! Definitely to optimize nutrition!

  • @katmartinez9128
    @katmartinez91282 жыл бұрын

    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.

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    yes! Will try to get Arianna on it- she's brilliant at line changes! Thank you :)

  • @diyazaheer5534
    @diyazaheer5534 Жыл бұрын

    very informative. thank you so much. could you please give insight regarding DIC and its management?

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    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!

  • @gabbyola658
    @gabbyola6582 жыл бұрын

    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

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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.

  • @Angela-oh8wl
    @Angela-oh8wl2 жыл бұрын

    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!

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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!!!!

  • @madisonhillis-mole3002
    @madisonhillis-mole30028 ай бұрын

    Did you ever make a video on changing the lines!? I would really like one!

  • @TalaTalksNICU

    @TalaTalksNICU

    8 ай бұрын

    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!!!

  • @preethaharilal174
    @preethaharilal17419 күн бұрын

    👏🏻👏🏻👏🏻

  • @TalaTalksNICU

    @TalaTalksNICU

    19 күн бұрын

    Thank you so much!!!

  • @Sharifewatan55
    @Sharifewatan552 жыл бұрын

    Vey good information I share your most video with my students like PPTH TGA PDA If you have a video for preterm baby vaccination

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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

  • @rachelbell6969
    @rachelbell69696 ай бұрын

    Was there a video ever done on how to change TPN lines?

  • @TalaTalksNICU

    @TalaTalksNICU

    6 ай бұрын

    Uhm no!!!!! We still haven’t done one! Thanks for the reminder!!!

  • @spookytook
    @spookytook9 ай бұрын

    the audio issues are there by the way

  • @TalaTalksNICU

    @TalaTalksNICU

    9 ай бұрын

    SORRY! We're trying to do a better job with that :(

  • @sifnamoljoseph85
    @sifnamoljoseph85 Жыл бұрын

    Can we administer intra lipid through PICC line

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    YES! we often do. Often it's not the issue with the line but with whatever meds are going through with the lipids...

  • @jampellhendrup1376
    @jampellhendrup13762 жыл бұрын

    Is dextrose 10%, 25% and 50% a part of TPN

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    TPN can be written at any dextrose you choose- generally we go down to about D5 (below that we're worried about a GIR

  • @strgrl89babe
    @strgrl89babe2 жыл бұрын

    What is Starter TPN?!

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    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?

  • @marienorris4878
    @marienorris48782 жыл бұрын

    pքɾօʍօʂʍ 💃

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Not sure what that means?!