Re: [Critical Care Nutrition] Abridged summary of criticalcarenutrition@googlegroups.com - 2 updates in 1 topic

[monica kennaley]

Thank you for your quick replies.

Yes I believe that I am overfeeding her.  We have no IC in my icu. 

The surgeon noted an enlarged liver in the OR today. Liver function tests pending. 

EN is not an option yet. Still needing more bowel surgery scheduled this week.

Less sedated now - propofol 1 mg/kg/min. 

So I have reduced the total kcal. 

Still using smof lipids but fat (propofol and smof) providing 25% of total kcal infused and < 1g/kg/d. 

I am debating cycling the travasol and smof x 16 hrs. Discussing with the pharmacist tomorrow.  

Thanks for the help;  Much appreciated. 

Monica 

On Wednesday, 2 November 2016, <criticalca...@googlegroups.com> wrote:

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• Tpn and triglycerides - 2 Updates

Tpn and triglycerides

mkennaley <monicak...@gmail.com>: Oct 31 05:30PM -0700 Hello! My pt is on tpn Ischemic bowel post g tube perforation - now open abdomen with vac dressing. To the or x 5 times. Intubated on min vent settings. Tpn x 3 weeks. I am worried about her ...more

Corilee Watters <corilee...@gmail.com>: Nov 01 07:56AM -0700 Monica, Do you have access to indirect calorimetry? Might be helpful to avoid over-feeding. The increase in TG may be related to infection, and the suggestion to cycle SMOF might be helpful, and ...more

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