Refeeding Syndrome

A patient who hasn’t eaten in two weeks. Spoke with a nutritionist and recommends. -Start with CLD and small portions for 1-2 days. Get CMP with Mg and Phosphorus every 12 hours -Next start patient on GI soft liquids. “The refeeding syndrome is defined as...

FODMAP diet

FODMAPs are carbohydrates (sugars) that are found in foods. Not all carbohydrates are considered FODMAPs. FODMAP stands for Fermentable, Oligosaccharides, Disaccharides, and Monosaccharides And Polyols. How the Low FODMAP diet is implemented You first eliminate FODMAP...

Discharging Patients After Coronary Angiography

When should you discharge a patient after a coronary angiogram? At our hospital, Discharge after 4 hours of rest if no stent was placed (i.e. just coronary angiography without any intervention). That’s of course if they don’t bleed. Call the cardiologist...

Low Carb, High Fat (LCHF) Diet

AKA: Low Carbohydrates, High Fat Diet   Recommendations and references. -Am Fam Physician. 2015 May 1;91(9):634-638. “Diets higher in fat produce and sustain as much or more weight loss than lower-fat or calorie-restricted diets. (A)” -A book...

Indication for Surgery in Bacterial Endocarditis

Indications for surgery in Bacterial Endocarditis or Infective Endocarditis.     http://heart.bmj.com/content/90/6/618 http://www.acc.org/latest-in-cardiology/ten-points-to-remember/2016/01/08/15/13/timing-of-surgery-in-infective-endocarditis...

Position Therapy for Obstructive Sleep Apnea

“Studies have shown that sleeping in the supine position compared with the lateral position may double the apnea-hypopnea index in patients with OSA. Strategies to avoid the supine position include placing tennis balls in a sock or pocket and pinning or sewing...