logo
episode-header-image
Nov 2024
29m 31s

#164 TPN/PPN Parenteral Nutrition: 5 Pea...

CORE IM TEAM
About this episode

How is TPN and PPN similar and how is it different? When should each be used? How does bacterial overgrowth lead to complications? Does TPN cause diarrhea?

Transcript and Show notes

Behind the Scenes Youtube Interview

Subscribe to Core IM’s YouTube Channel for more behind the scenes, whiteboard animations and more!

Timestamps:

(01:35) | PEARL 1: Basics of PN: What makes up parenteral nutrition?

(06:54) | PEARL 2: Indications and Contraindications for TPN and PPN: When should I order parenteral nutrition?

(13:40) | PEARL 3: Complications of parenteral nutrition: What are the common adverse effects of parenteral nutrition?

(19:41) | PEARL 4: Parenteral nutrition myths: What should patients know before they start TPN?

(23:56) | PEARL 5: Recap on Tube Feeds: How do we determine the amount of free water to give out patients on tube feeds?

Tags: IMCore, CoreIM, parenteral nutrition, TPN, PPN, clinical nutrition, nutritional support, complications, patient safety, gastrointestinal disorders, critical care, internal medicine, fluid management, ICU, Crit Care, GI, gastroenterology



Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Our Sponsors:
* Sponsor Factor: https://factormeals.com/coreim50off


Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy
Up next
Yesterday
#186 Pneumothorax: 5 Pearls Segment
Next time you’re squinting at a chest tube, feel confident you know exactly what to look for and why. Hear it explained in a way that really sticks!🔹 Sponsor: Oakstone CME’s ACP MKSAP Audio CompanionUse the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP🔹 Transcr ... Show More
37m 3s
Aug 13
#185 Neutropenia: 5 Pearls Segment
How do you work up neutropenia? When is neutropenia benign? When do neutrophils recover? How can you diagnose neutropenic fever in the first 15 minutes and start antibiotics in the first 60 minutes? Do you always add MRSA coverages? Only Pseudomonas coverage? When do you add fung ... Show More
42m 21s
Jul 28
#184 Stories for the Feels
Have a good laugh and reflect deeply with these three stories that hit the feels in different ways.If you'd love to hear more stories from Dr. Maria Rosasco, check out some of her other appearances on the podcast: July Stories and Handoffs & Contingency Planning.🔹 Sponsor: Oakst ... Show More
10m 44s
Recommended Episodes
Jul 2024
An ICU doc's take on the Metabolic Health crisis with Dr. Kwadwo
TODAY'S GUESTDr. Kwadwo Kyeremanteng is an intensive and palliative care physician at the Ottawa and Montfort hospitals. Solving Healthcare launched in 2019, is a 5-star rated podcast (Apple Podcasts) with 278 episodes where Dr. Kyeremanteng dives in deep with guests coverin ... Show More
1h 2m
Feb 2025
The Truth About Nutrition: How You Can Take a Science-Based Approach | Bradley Johnston PhD
Misinformation in nutrition is rampant. From demonizing red meat to hyping plant-based diets, conflicting advice has left many people confused about what’s truly evidence-based. In this episode, I am joined by Dr. Bradley Johnston, an expert in evidence-based nutrition and public ... Show More
1h 30m
Jul 2023
1 | Discussing Nutrition: 3 Things Every Clinician Must Do
Send Colleen a Text MessageDiscover how to seamlessly integrate nutrition discussions into your patient encounters. In this episode, learn what you can expect from Exam Room Nutrition and then explore 3 simple, yet effective strategies for starting the nutrition discussion during ... Show More
12m 52s
May 25
Overwhelmed by Gut Health & Nutrition? Here's What You Actually Need to Know
If you’ve ever felt confused by food labels, overwhelmed by gut health advice, or unsure which supplements are actually worth it — this episode is for you. We sit down with Lisa Baker, a dermal therapist turned nutritionist and supplement product developer, to demystify what’s re ... Show More
50m 55s
Jun 2021
Aliye Uc - Acute Pancreatitis Pearls
In this episode of Bowel Sounds, hosts Drs. Temara Hajjat and Jason Silverman talk to Dr. Aliye Uc, head of the division of pediatric gastroenterology at the University of Iowa, about her pearls for the evaluation and management of acute and acute recurrent pancreatitis.  She als ... Show More
25m 54s
Sep 2024
Simple ways to improve gut health | Dr. Karan Rajan
Your body has two brains. And your second brain is your gut. Many think the “gut” is only the stomach - but it’s a network of organs, working together to regulate many different areas of health. When almost half of us suffer with gastrointestinal issues, learning how these organs ... Show More
1h 4m
Jul 2
119 | When the Visit’s Over… But the Nutrition Questions Keep Coming
You’re walking out the door, wrapping up your visit, and then it happens— “...Oh, by the way, what do you think about ... ?” Sound familiar?In this episode, I’m joined by Alexandria Hardy, MS, RD, LDN, to tackle the rapid-fire nutrition questions patients love to drop at the end ... Show More
39m 54s
May 21
112 | Quick Nutrition Answers for the “One More Question” Patient
In this week’s episode we’re sharing bite-sized answers to the nutrition questions your patients love to throw at you—often at the very end of the visit. My guest, Nina, is a registered dietitian who specializes in weight management, and she’s here to help you deliver fast, pract ... Show More
28m 27s
Jul 2024
The Heavy Metal You've Never Heard of: Deuterium's Impact on Metabolic Health, How to Avoid It and Deplete It with Dr. Sara Pugh | Episode 196
TODAY'S GUESTDr. Sara Pugh has a background in genetics, biochemistry and biophysics and has worked on protein folding, dopamine receptors, membrane proteins  genetic promoters in moss, statins & heart cells . She later trained in hypnosis ,  functional movement, functional ... Show More
1h 20m
Apr 2025
107 | “I Saw It on TikTok…” A Guide to Nutrition Trends
Have you ever had a patient say, “I saw this thing on TikTok…”—and suddenly you’re on the spot, trying to weigh in on a wellness trend you’ve never even heard of?You’re not alone. And you’re not unqualified just because you don’t have an instant answer.In this episode, I'm joined ... Show More
36m 13s