Friday, May 29, 2009

End of Week 3 with no crying yay!

Today I did a taste test tray, the dietitians have to do them once a month. My tray was mac and cheese (it was SO good, sorry mr. mojica but it wins for me), turkey salad (which ended up being some strips of turkey on some lettuce, quite odd), a roll, milk and zucchini. This was the low sodium menu so that zucchini was incredibly tasteless. All of the stuff was at the right temp so that was good. I suggested better presentation for the turkey salad and seasoning on the zucchini.
Yesterday I worked through a tube feeding patient which was quite interesting and fun I thought. He was about to go on CRRT (continuous renal replacement therapy, akin to dialysis) for a little while so he was going to be needed increased protein. He also had MAJOR pitting edema, which I got to see, it took many seconds for his skin to come back up when pressed. He was taken off diprivan so those calories needed to be replaced by adjusting his tube feeding rate. so we raised that and decided to add promod. It was like a puzzle to figure out what works. I've also been picking up some pointers about what to do when people are diabetic and they need supplements. the only diabetic supplement we can order from the kitchen is HealthShakes but the hospital only has vanilla which gets super boring for people. So we figured out that it was a little less carbs to give 1/2 can of ensure plus four times a day and that comes in a variety of flavors, so over time hopefully I will pick up more tricks like that and start being able to think more creatively.

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