Doctor insights on:
Nursing Diagnosis For G Tube
When administrating medication through an ng tube or gastrostomy tube, how many mls of saline is used to flush for pediatric patients?
Is it safe for a patient to receive a TPN feed through a GJ Tube?My sis has severe Mastocytosis & Gastroparesis, and enteral feeding tube didn't work.
Not a question of : safety, rather why give a parenteral feeding, enterally, might not be absorbed efficiently and an expensive preparation would be wasted. The G-J tube is meant to bypass the stomach and go right into the small intestine, there are preparations meant to be used this way that don't need stomach digestive process, ask the doctors/dietician about, wish you and your sister wellness ...Read more
Small catheters: Nurses use small plastic catheters inserted down endotracheal tubes to clear airways of secretions. ...Read more
Depends: It depends on the age and the weight of the child as well as on where you are going to use them, what are you using them for and for how long. ...Read more
While searching for adjusting warfarin dose for my 62yo mom http://www.Warfarindosing.Org/ says genotyping 7 loci. Given the cost, recommended still?
Palliative grandma with ng tube and catheter, has gastro. Diarrhea for 24hrs but no urine. Gastrolyte is given. Could her catheter be blocked?
How effective is Benadryl (diphenhydramine) for motility issues to help with severe retching in a former preemie with a g tube nissen?
For an elderly with dementia, to further avoid aspiration pneumonia should we replace the peg tube for a pej one. Is that an option?Consequences? Thx
Yes it is an option: If she is having aspiration while receiving feedings via a peg tube, conversion to j- tube should diminish aspiration from gastric reflux( assuming there is no obstruction distally in the GI tract). If the aspiration is from swallowing, conversion will not help. If her dementia is profound, it may be helpful to discuss both medical and life goals with her physician or ethics board. ...Read moreSee 2 more doctor answers
How shall instructions for specimen collection be modified for children, the elderly, and individuals from ot?
Clarify question: If u are referring to urine specimen collection, the idea is to get the specimen without contamination, which is quite common with urine samples. The best way to avoid that possibility would be to obtain a catheter specimen fir more accurate results and treatment as indicated. ...Read more
I've been admitted to hospital for severe infection/pain. Is 2 mg of IV morphine consider an effective treatment for pain? Right to ask for more?
Pain management: Everyone experiences pain a little bit differently. 2 mg of morphine is a good place to start -but u may need more depending on a number of factors. I always describe pain as a 'tidal wave' -u need to be out in front before it's crashing over you-then it's harder to catch up. Docs in hospitals sometimes undermedicate because they need to watch u for symptoms that could indicate worsening. Hold on ...Read more
Terminal pan can. No more treatments/ chemo. Sent home with a home care nurse. Biliary drainage tube from tumor blocking bile duct. Life expectancy?
Limited: Make sure that your oncology team has lots of experience with treating pancreatic adenocarcinoma, and that they have access to clinical trials. Across the board, the life expectancy for terminal pancreatic cancer is limited, in the months range. But for appropriate candidates, there are clinical trials that might be worth considering. Best wishes, and try to keep your chin up! ...Read more
What is recommended when nasal steroids, decongestants, antibiotics, and 9 mos of waiting have failed for an adult with Eustachian tube dysfunction?
Many things: no body use nasal gastric feeding tube now unless it have been used for a very short period of time if it was used they use it on any patient that not capable of eating but his guts is capable of digestion the food good way of nutrition for a patient that could not feed themselves IV fluid has no nutritional values only good for hydration if feeding needed they use now PEG tube ...Read more
Is there any proper treatment for viral encephalitis with polycythemia ? Pt is 17 years old and over 6 month in icu waiting for good treatment
Missing information: You get more from the site when you provide better background information. Just listing "Viral" doesn't give much to work with. If it has lasted 6 mo and the patient is in the ICU I suspect it is Herpes encephalitis that has not responded to treatment and the prognosis is poor. Once the infection has lasted that long the damage is often permanent. ...Read moreSee 1 more doctor answer