Miscellaneous
Nutrishare Neighborhood call for December 2018, protecting your kidneys. Consumers can be at special risk of dehydration on the hours you are not receiving TPN. Join Nutrishare clinicians Carol Ireton-Jones and Davina Ngo for a talk on managing oral rehydration and protecting your kidneys. You can also download our guide to oral rehydration by following the link below. The informative section of the call has been made publicly available because we believe that everyone should have access to this important information. However, participation in the call, and consulting with our clinicians, is limited to the Nutrishare family. Disclaimer: none of the information provided in this call is meant to substitute for your doctor' medical advice. SHOWNOTES Introduction 3:37 - Water is most everybody's friend, but not if you have short bowel 5:04 - Oral Rehydration solution is necessary to quench your thirst , "i.e., hydrate you" with SBS, not just water. Carbohydrates facilitates absorption of sodium in the GI tract. 6:13 - Drinking down lots of water can draw it out of your cells - you can do yourself a lot of harm. 9:04 - World Health Organization guidelines for sodium in ORS. 12:54 - Q:Why do I have to drink this when I can just grab a bag of IV fluids? 15:48 - Infusing PN during the night might not be enough to keep your kidneys protected if you don’t hydrate during the day. 16:58 - Q: Is ORS absorption better when it's cold? A: it tastes better! Does it lose its effectiveness after 24 hours?… 18:15 - Don't add ice to the ORS. 18:53 - Using a straw to control fluid intake with ORS. 21:04 - Q: Does ORS work when there is a bowel obstruction or do you need IV fluids? 22:29 - Dedication to ORS means staying off PN for fluid. 25:38 - Q: What about a low oxalate diet? A: Only when indicated. Talk with your clinician 28:57 - Managing other formulas - they typically do not have enough electrolytes and particularly sodium for people with SBS.
31:25 - ORS is like creating a therapeutic fluid to take orally. 34:31 - We advocate for using what has been really studied, and shown to be beneficial for ORS. 36:50 - What I love about Carol & Davina & everyone at Nutrishare is that their whole goal is to make your life as easy as can be. Click to download Nutrishare's guide for Oral Rehydration