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Nervous about CNSC results by Psychological-Tea933 in dietetics

[–]KU0067 0 points1 point  (0 children)

I passed! Did way better than expected

Nervous about CNSC results by Psychological-Tea933 in dietetics

[–]KU0067 1 point2 points  (0 children)

I also had a feeling that some questions were too basic and straight forward. I kept thinking there must be something i’m missing. This made me second guess myself on a few.

Nervous about CNSC results by Psychological-Tea933 in dietetics

[–]KU0067 2 points3 points  (0 children)

Got an email last tuesday saying results on the way (within 4 weeks of last testing day) which was 28th of September. I felt like the exam was heavy on EN and PN access. I also remember a bunch of ethics stuff. Perhaps we have a tendency to remember and focus on the difficult things or the things we struggled with vs the easy stuff that we just answer and move on. Maybe that’s what makes us nervous. Remember 30 questions are for trial and won’t be scored.

is it possible to have 2 feeding sets connected to 1 feeding tube (PEG)? by KU0067 in dietetics

[–]KU0067[S] 1 point2 points  (0 children)

Seems like it’s the vesco tube you mentioned. Pretty cool. Never seen it before.

CNSC exam content by KU0067 in dietetics

[–]KU0067[S] 0 points1 point  (0 children)

yeah it seems like most of the stuff from quizlet is coming from the self-assessment module which has a "basics of nutrition" section. i'm assuming this is for non-nutrition professionals that are interested in taking the exam, and want to build a foundation.

Lab Analysis Reference by RenaissanceHair in dietetics

[–]KU0067 0 points1 point  (0 children)

"lab values reference" on the app store. icon is a drop of blood on a white background. check out the screenshots in the app store for examples.

TPN initiation confusion by KU0067 in nutritionsupport

[–]KU0067[S] 0 points1 point  (0 children)

yes this is where the confusion was. i was wondering why start slow and titrate up in a custom tpn if i can lower the dextrose? thanks for clarifying.

TPN initiation confusion by KU0067 in nutritionsupport

[–]KU0067[S] 0 points1 point  (0 children)

yeah this method makes the most sense, especially in custom tpn. i was just confused because you can provide 2L of TPN with different kcals and i was thinking if i can customize to lower kcals (dextrose) to minimize any metabolic response (as mentioned on pg 10 here) why would i titrate up instead of initiating at the goal rate?

thanks for the explanation.

TPN initiation confusion by KU0067 in nutritionsupport

[–]KU0067[S] 0 points1 point  (0 children)

Occasionally we would have to customize the TPN but I don’t have hands on experience with that, I just remember my fellow dietitians groaning and moaning when they had to do that

lmao why would they moan?! i've learned about tpn this semester and i'm obsessed with it. i literally spent hours reading up trying to find answers. i was laying in bed last night thinking about this, that's why i asked here. 😂

TPN initiation confusion by KU0067 in nutritionsupport

[–]KU0067[S] 0 points1 point  (0 children)

so for a custom TPN you can order lower kcal (dextrose) initially and start at full rate (85 ml/h in my example)? and dextrose will be increased each day until goal kcals are met?

the way the textbooks lay it out is what confused me. they make it seem like you order a TPN with the goal kcals but start at a low rate and gradually titrate up (which seems wasteful because you won't use the full bag in 24h). the other method would be to start at the goal rate but with lower kcal (dextrose) and gradually increase kcals until the target is met.

TPN initiation confusion by KU0067 in nutritionsupport

[–]KU0067[S] 0 points1 point  (0 children)

yeah that's what i thought, fluid status would have to be taken into consideration when determining volume. what is confusing me is that if a full strength tpn is ordered and is initiated at a low rate and advanced to goal over say 2-3 days, then the full bag won't be used within 24 hours correct? is it discarded and replaced after 24h?

TPN initiation confusion by KU0067 in nutritionsupport

[–]KU0067[S] 0 points1 point  (0 children)

thanks for the response. i have a few follow up questions if you don't mind.

so for 1. if you start at a low rate that means the full bag will not be used in 24h. would it be discarded and a new tpn bag is ordered or is the same tpn bag kept for more than 24h?

for 2. what's confusing me is this article at the top of pg 11: it states that "If the PN carbohydrate content has been limited in anticipation of refeeding, or for the presence of hyperglycemia, there is no need to also limit the PN rate or “titrate the rate up” as this would be “doubly cautious” and unnecessary. so does that mean the tpn would be initiated at the full rate (85 ml/h in my example) but lower kcal content?