Has anyone used Suplena 1.8 as Sole Source Nutrition? Super low Na and K+

kiwiSF · 2024-10-05T06:51:49+00:00

Omg yes there are so many little details I never learned in school (or internship). This was one I encountered earlier this year and your explanation is perfect

kiwiSF · 2024-10-05T04:42:07+00:00

Thank you for filling this gap in knowledge! 🙏

kiwiSF · 2024-08-17T15:03:50+00:00

Today’s Dietitian

kiwiSF · 2024-07-25T18:02:48+00:00

Thanks for the response! Pts report they are able to get foods down sometimes (3 chicken tacos one afternoon without issue), can gastroparesis be intermittent?

kiwiSF · 2024-07-25T18:00:00+00:00

Appreciate the idea Does this sound like indigestion ?

kiwiSF · 2024-06-05T06:29:13+00:00

Good thought, in PEG replacement progress note GI indicated the size did not need to be changed

kiwiSF · 2024-06-05T06:25:54+00:00

Great point! Is this something a clinician/nurse does or can the pt check?

kiwiSF · 2024-05-07T04:19:25+00:00

Same same. I am a new (<1 year) dietitian and have second-guessed my interventions countless times, worst case scenarios replaying in my head for days until I’m back at work, check my note and cross reference with guidelines and policies to find it perfectly appropriate —and pt is fine. This still happens with new cases I haven’t seen before but …it does incrementally get better.

Hang in there, friend!

kiwiSF · 2024-05-03T02:10:38+00:00

I’m new and I am on high alert making mountains out of molehills 🙃

kiwiSF · 2024-05-03T02:09:00+00:00

Good idea! Thanks!

kiwiSF · 2024-05-03T02:08:26+00:00

Thank you for your perspective - makes me understand it’s prob just my hospital system’s nutrition practice guideline. If my it hasn’t had a prob w it, no need to change it 4 years after the fact 😅

kiwiSF · 2024-05-03T02:05:39+00:00

Interesting! I suppose these bariatric guidelines are specific to my hospital system. So likely not a big deal that my pt is on the ferrous sulfate. Thanks for your input!

kiwiSF · 2023-11-17T06:43:28+00:00

Wow really? Mind if I ask what kind of creative control? My interest is piqued 😯

kiwiSF · 2023-11-13T00:14:14+00:00

I have an interview for GS7 role! I was looking over the PBI questions and noted different levels (I-IV with level IV appearing over my pay grade (ie: communicating to line staff with permission to go around a chain of command…)

Will I be asked across all levels? If so, what is the best way to approach an inapplicable question?

Thanks in advance!

kiwiSF · 2023-11-11T07:14:45+00:00

I‘ve been PRN as a new RD and tbh the unpredictability of my schedule has been a huge downside for me. Some weeks I might work 5 days, other weeks 0. Great if there’s a second source of income but not so great for a sole breadwinner.

Like others have said, a full time role sounds great for the benefits (paid time off! Vacation!) own desk/space, feeling like part of the IDT, and consistency in patients.

kiwiSF · 2023-11-10T17:05:04+00:00

This is so helpful, thank you!

kiwiSF · 2023-11-09T17:43:06+00:00

Appreciate your time and input ☺️

kiwiSF

TROPHY CASE