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
ulcers.Which is also a little tough on the GI system from what I have seen. But
I think it is more of the risks out weigh the benefits, another one the great
things about pt care. Thanks for the info about colace. I have only given the
liq colace very rarely.Do you work @ SNGH?

oceanview0864 <oceanview0864@...> wrote: 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 administered around mealtime.
However, the bottled pink colace, both the name brand and
the "generic" DSS, give the patient the sensation of burning in both
the mouth and in the esophagus, hence is perceived to be more caustic
than many meds. They should be diluted when administered, most
especially in the critical care population, as gastrointestinal
stress ulcers are so common and we have as one of our goals the
avoidance of stress ulcers and gi origin pain. (GI pain is also so
easily confused with cardiac pain.) This is important even in a tube
because a tube often rests up against a particular portion of the gi
tract and can ulcerate if not simply irritate.
I really like Colace as a drug for a myriad of situations, but a
couple of the professors of medicine have told me that it is not
ideal for all patients. It is a sodium based preparation and some of
the gi docs prefer other drugs when sodium balance is a consideration.
Christine

--- In nursebob@yahoogroups.com, Debbie Agliam <debsth1@...> wrote:
>
> 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 dicuss.
>
> oceanview0864 <oceanview0864@...> wrote: 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 possibility later.
> One of our collegues mentioned diluted liquid colace which is
> wonderful stuff (though a little caustic) We used to use this a
great
> deal but the newer formulations of tube feeding pre-made formulae
> (with additives such as fiber etc., make this less necessary at
least
> at first)
> I'm really glad you are concerned enough about this patient to
> write. The fact is that many of our patients never are vertical
> again, but we never know who the success stories will be. Caring
> enough to plan solutions for these problems not only might
stabilize
> this woman enough to go to rehab someday, but it will teach all of
us
> how to be better nurses in the day to day practical problems which
> challenge us.
> Great job !
> Christine
>
> --- In nursebob@yahoogroups.com, 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]
> > >
> >
> >
> >
> >
> >
> >
> >
> > Visit http://nursebob.com
> > Yahoo! Groups Links
> >
> >
> >
> >
> >
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>
>
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