oh great role nutrition. so into being and retro literature Vol. so. Coretta truly Tricia and it is true. the IV. so old. patients receive normal training with Dextrose that sugar is a very very tiny amount of sugar. so in some ways they’re getting older nutrition. so intro feedingTotal we have a nasal gastric to the can have a Gastrostomy to merchant enough to be true. why would you place one further down. well depends what’s going on. the patient. sometimes good things that into Juneau. further down. they have gastric problems and bufferin one of the they’ll have family problems sending Gastrostomy might be better for nasal gastric tube. other than the made to go to the other to replace down and special. usually when a patient has to the feeding too. there is one of the Lopez valves on a probably seen them in Clinical word you open up one. the new country clap and that helped opening closing the time we are putting in meds for her pretty the on. PT two. so example of a Gastrostomy two of the Christmas not have below have valve on there. but that’s what Atria looks like it could to valve on the right there. here’s another one gets a larger one common trying clamped on the two that’s a pretty the flatbread for. so in true feeding. will the team continued what’s going on. it could be intermittent. we need three four five six times a day you just give. a. the teen film in the Hamels can encourage them. so intermittent is the equal Feedings throughout the day. that’s more calm about what we normally not everything. all one for the day so internet. Continuous is basically. he worked from eighteen twenty four hours to the top block of the Continuous trophy goal on twenty four seven and that the keeper and very low amount interesting and very likely. boy would be like three or four hours than you do with the big you’re interested in using them home. walk intermittent you would be awful. so he does pull within twenty five. or are command and fifty three hundred and fifty every three hours. Tom. for the patient needs to the doctor’s orders and twenty issues are with the patient lot of variables. depending on. what’s going on. treatment for the patient. he Node Ministries based in the order doctor right in order for on nutrition and to come to the valuation and decide what kind of nutrition the patient needs coming calories. the one that different. he is. the trophy from for the kidneys some form of liver high calorie low fiber low fiber. yesterday all kinds of interesting column on the cavity. for common when you say. so Information head of an engine to feeding the lead and continuous. every six hours usually the nerve to turn it into will though they stopped feeding they use one of those diet. the canal for into an intruder is going to keep pulling back out of the feeding through to see how much is there. um patient needs to be. have you could be elevated when you that you sleep. Om. also the older it’ll all are doing the feeding tube specially good thing. NT two. so they decided that know her whole they didn’t how much they pull back the good of the back of the patient so I think they bleeds for the bolus of two hundred Korea more than two hundred km believed that go back in her bid to win about so if you pulled out a hundred and twenty go back and patient. so that the team will all be team. liquid. smells nasty. so imagine you’re on that stuff out of the put back in the US government patients that. it forecasts that to the feeding tube. they may have to stop the flow and down things like that. so will gradually Tricia node now that will talk about in the. Om. Visceral interesting current open kitchen. these are patients that can have. he mean by get their NPO that after surgery so they knew nutrition they may have come full critical interest in the Willebrand’s cold for him. cool cool and cold attrition basically is all going in the IV in Cali of the need for joint Bay they usually run for twenty four hours. they have a whole list of neo mineral electro why in the and ensure current good due to pre match every inning the. Om. and I go to the mainland slowly twenty four hours. sometimes that are cool right. with the fruit you get a lot will look like bottle of milk. I goes as well. and so on. patients on getting live in fat and also how to think so. that have to be run told critical Nutrition have to be grown in Central lines so the client so Clay be avoided. the like that. there are out there a. form of torrential the true should not portal. that basically they can get in central Perth occur a crucial IV common when you see of Clinton next few you go high and I am I next clinic basically it’s clear that when you get that cold separated have to bring feeling to do so but it’s not have to be given in a central line but also it’s not cold. total for a true true. the key and that they begged go to Central on. Cr referral in Tricia like when American go in irregular ID. so when we know about he is well TB and it’s being given twenty four seven get a new tubing every twenty four hours. Om. wait a min. the early. Om. what I do with interim Nutrition startup that so college pressure. they also need to be never twenty four hours. under the Flush with water. in the gastric to turn off to me. Om. he get medication so there you can have their thing for the feeding to block type the patient will not receive enough trouble fluid so the doctor will order the three or four times a day getting help water watered down the injury to the the Gastrostomy to down the last week or so anything that might have extra water as well. the patient on feeding too. so of intro feeding. well I can cause they can ask for a girl delirium or it becomes law high calorie some patients have diarrhea to live coverage of may cause constipation. maybe I her feet people are on control interested have to have their pj’s taking regularly because there are why colors. if you don’t give them enough fluid no water they come in hydrated so these are all cold patient controlled interest. so usually that a dreadful interest income so they can either support opinion. or you may have especially one that’s actually refrigerated and then you’re into her look refrigerated up to twenty four hours. so it is that. although it through. the tofu though of going through creating. the upshot of all are really them in naught. play catch up. if you’re forty and certain amount from a bag of open like the current what Cardinal can encourage or greater. you’re literally and forty dollars of the time go to let bag go into changing the bacon tubing every twenty four hour secure two of bolus feedings human being. intermittent huge of a clean breast of the day and the pain of the. by the polling changes at the conference. you can make sold for real the new formula. so does not be you’re drinking for a later many oral care. so we have enough lot. and it’s true. King care they haven’t made from gusting to have breakdown around in the what’s in there and make sure the flight in the stomach of all so clean. thinking that it’s not a sterile procedure. so what’s going on of checking whether the patient older age the lab values time. cause everything working. so Om. always ready to the new betting on whether you’re doing it ruler you and TPA and go check the bag and to order. we don’t allow banks to get the hang one of twenty four hour straight to the two being you go play catch up to help shuttle altering reason go to special girl procedure. everything gets changed on UPN you’re going to have a filter can you change that tubing and Filter every twenty four hours. so so insertion flying on a central line as well. while flying Daily weights by a nose always seems are going to be looked that calm for a central line or a Gastrostomy too. so the boys. um TPN have to be on an infusion pump. the urine blood glucose. for TPN loyalists of the way. control. yes you read out in Utah have a new day TPA and then pain. the channel. waiting for the magic bag because are very high in calories to do a patient go into hypoglycemia. you can get anything through TPN pain meds they give blood products. although sure you’re all if the because of. there are some medication fly from the antibiotics can be given to TPN so Destruction of coffee. going on.