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Reply | Forward Message #3142 of 5118 |
Re: (no subject)

i'm thinking outloud. nothing more


-----Original Message-----
From: debsth1@...
To: nursebob@yahoogroups.com
Sent: Sun, 3 Sep 2006 10:51 AM
Subject: Re: (no subject)


tPA has a high incedence w/GI bleeding. I am confused as to why tPA would be an
option. Can you help me understand that?

blondeoverboard@... wrote: thanks for the idea and the well wishes.
doubtful this lady will ever be vertical again but.....
i'm also wondering if TPA would be more suitable although with her trend toward
volume overload & 3rd spacing this might not be the best option either


-----Original Message-----
From: oceanview0864@...
To: nursebob@yahoogroups.com
Sent: Sun, 3 Sep 2006 8:09 AM
Subject: Re: (no subject)

get abdominal
girth measurements daily on day shift to document and quantify any
potential distention.

--- In nursebob@yahoogroups.com, blondeoverboard@... wrote:
>
> we have a patient on the unit... status epilepticus secondary to
acute
> sepsis. today was my first day caring for her. pta she had
neurogenic bowel and
> bladder due to cauda equina syndrome. she's intubated, ventilated
& sedated
> on a versed gtt. 3 days ago tube feeds were started. she's got
good bowel
> sounds and appears to be tolerating the product and volume well
(jevity 1.2
> @60ml/hr per ng) so here's my question:
>
> when can i expect her to have a bm and when should i start to be
concerned?
>
>
> [Non-text portions of this message have been removed]
>

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Sun Sep 3, 2006 4:18 pm

blondeoverboard@...
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Forward
Message #3142 of 5118 |
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we have a patient on the unit... status epilepticus secondary to acute sepsis. today was my first day caring for her. pta she had neurogenic bowel and ...
blondeoverboard@...
Send Email
Sep 3, 2006
4:06 am

Thanks for this interesting case. IMHO, so long as the bowel sounds continue to be present in all four quadrants, I would be comfortable "priming the bowel"...
oceanview0864
Offline Send Email
Sep 3, 2006
1:14 pm

thanks for the idea and the well wishes. doubtful this lady will ever be vertical again but..... i'm also wondering if TPA would be more suitable although...
blondeoverboard@...
Send Email
Sep 3, 2006
2:36 pm

tPA has a high incedence w/GI bleeding. I am confused as to why tPA would be an option. Can you help me understand that? blondeoverboard@... wrote:...
Debbie Agliam
debsth1
Offline Send Email
Sep 3, 2006
3:55 pm

i'm thinking outloud. nothing more ... From: debsth1@... To: nursebob@yahoogroups.com Sent: Sun, 3 Sep 2006 10:51 AM Subject: Re: (no subject) tPA has a...
blondeoverboard@...
Send Email
Sep 3, 2006
4:20 pm

Oh..... Sorry I just wasn't able to put it together......Have a great day!!!!!Happy Sunday!!! blondeoverboard@... wrote: i'm thinking outloud....
Debbie Agliam
debsth1
Offline Send Email
Sep 3, 2006
4:30 pm

-It is my belief, (and I have not seen the chart, the patient or been on the case) that generally using the gi tract itself is always preferable to using TPN....
oceanview0864
Offline Send Email
Sep 3, 2006
5:15 pm

We went from talking about tPA to to TPN . I think is was supposed to be TPN correct? Okay I am back on board now oceanview0864 <oceanview0864@...>...
Debbie Agliam
debsth1
Offline Send Email
Sep 3, 2006
5:36 pm

yup, tpn... damn dyslexia ... From: debsth1@... To: nursebob@yahoogroups.com Sent: Sun, 3 Sep 2006 12:22 PM Subject: Re: tube feeding vs. TPN We went...
blondeoverboard@...
Send Email
Sep 3, 2006
6:07 pm

Yes...I got you, there are so may abbreviations in health care everyone I know mixes things up all the time. But now I am with you with the TPN. Isn't TPN more...
Debbie Agliam
debsth1
Offline Send Email
Sep 4, 2006
3:28 am

before i left last night, i gave her 100mg of colace per ng and 10mg ducolax pr. she had a small mucoid stool late last night but nothing of much...
blondeoverboard@...
Send Email
Sep 4, 2006
1:06 pm

How is weight trending? blondeoverboard@... wrote: before i left last night, i gave her 100mg of colace per ng and 10mg ducolax pr. she had a small mucoid...
Debbie Agliam
debsth1
Offline Send Email
Sep 4, 2006
1:19 pm

oh shes good and fluid overloaded so she's a bloated little thing. 12 kilo difference from admit weight to today. ... From: debsth1@... To:...
blondeoverboard@...
Send Email
Sep 4, 2006
4:02 pm

Yes, TPN is total parenteral nutrition, the stuff we used to throw on our plants if there were leftovers. LOL Christine ... to be TPN correct? Okay I am back...
oceanview0864
Offline Send Email
Sep 4, 2006
8:19 am

Our docs use the dulcolax suppository and/or sorbitol liquid via the NG. We don't allow anyone to wait longer than three days for a BM without intervention. ...
CYoung2277@...
Send Email
Sep 4, 2006
4:42 am

What's her pre-albumin and serum albumin levels??? would she benefit from Furosemide/bumex and some albumin? Gayle Woodrow "Wash what is dirty. Water what is...
gwrn22@...
Send Email
Sep 4, 2006
10:09 pm

Just trying to follow reading this morning from everyone's email. Could some educate me alittle bit about "tPA"? Thanks! ... would be an option. Can you help...
peester992000
Offline Send Email
Sep 3, 2006
11:14 pm

from the AHA/ASA web site: there's a whole flood of contraindications related to who can receive tpa. Tissue Plasminogen Activator (tPA) AHA/ASA...
blondeoverboard@...
Send Email
Sep 3, 2006
11:42 pm

I think a trial of Jevity along with careful watching is prudent. It can also be decreased in terms of speed of delivery. A switch to TPN in always a...
oceanview0864
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Sep 3, 2006
5:02 pm

Jevity 1.2 contains fiber to promote moderate bowel fx.Not sure about colace being "caustic", in what sense? Thanks for the dialogue I learn a lot when we...
Debbie Agliam
debsth1
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Sep 3, 2006
5:28 pm

Colace in capsule, the way that you and I would take it during a pregnancy or while taking iron for example, does not seem to be troublesome, especially if...
oceanview0864
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Sep 4, 2006
8:17 am

Yes, pt's are prone to stress ulcers and most of the pt's I have encountered have been on pantoprazole(protonix) liq as prophylaxsis for the stress...
Debbie Agliam
debsth1
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Sep 4, 2006
1:13 pm

Yes, the proton pump inhibitors have almost revolutionized patient care in all populations. They do have their own problems as you said. Beside the tendency to...
oceanview0864
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Sep 4, 2006
3:12 pm

read an interesting article recently about the role PPI's play as increasing risk for c-diff ... From: oceanview0864@... To: nursebob@yahoogroups.com ...
blondeoverboard@...
Send Email
Sep 4, 2006
4:01 pm

Yes, I read something about this. I suppose it's a wonderful class of drugs in the short term, but that long term use certainly has its risks. Hopefully our...
oceanview0864
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Sep 4, 2006
9:31 pm

According to most protocols 3 days is max not to have a BM.Most books suggest that you give diluted colace w/ feedings to maintain proper bowel fx. Maybe a...
Debbie Agliam
debsth1
Offline Send Email
Sep 3, 2006
2:01 pm

knowing she has neurogenic bowel and bladder from the CES makes me wary. this AM her belly looked about the same size but was more firm. turned the tube feed...
blondeoverboard@...
Send Email
Sep 3, 2006
2:36 pm
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