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Doctor insights on: Pediatric G Tube Care

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When administrating medication through an ng tube or gastrostomy tube, how many mls of saline is used to flush for pediatric patients?

When administrating medication through an ng tube or gastrostomy tube, how many mls of saline is used to flush for pediatric patients?

Depends on med: Five to ten mL is a general amount of saline flush in larger children, depending on the viscosity of the medication being delivered through the tube. Infants and very small children may require less. ...Read more

Dr. Chad Rudnick
3,191 doctors shared insights

Pediatrics (Definition)

Pediatrics is the branch of medicine that concerns ...Read more


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Who takes care of adult spina bifida after you leave the children's hospital team?

Who takes care of adult spina bifida after you leave the children's hospital team?

Neuro/Ortho Spine: Some pediatric neurosurgeons will follow their patients as adults so check with them. You may need a team to help with bladder, orthopedic, and neurologic problems. For patients with chiari or vp shunts, they will need to see a neurosurgeon to be assessed for concerns for headache, numbness, or weakness. Get referrals from your pediatric providers if possible. ...Read more

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Pediatric surgeon (neonatal and or fetal intervention) vs. ob/gyn (perinatology), what's the difference?

Pediatric surgeon (neonatal and or fetal intervention) vs. ob/gyn (perinatology), what's the difference?

Perinatal medicine : Fetal intervention/fetal surgery is performed by an entire team. The team is made up of a pediatric surgeon, Perinatologist, and a neonatolist. The pediatric surgeon is the one who performs the surgery, the Perinatologist manages the patient with the complications that can result from the surgery, such as preterm labor. The neonatologist takes care of the complications that the baby may have. ...Read more

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A j tube or g tube. Are they same thing ?

A j tube or g tube. Are they same thing ?

Different...: One tube empties into the stomach (g-tube). The other tube empties into a portion of the intestine (jejunum). The tubes are generally different sizes with the j-tube usually smaller. The g-tube can allow for bolus feeds, or feeds given only certain times of the day in large volumes. The j-tube can only allow for smaller volume feeds on a more continuous basis (usually overnight). ...Read more

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Is the pediatric intensive care doctor on call 24 hours a day?

Is the pediatric intensive care doctor on call 24 hours a day?

Most take shifts: A physician in any role develops whatever method of coverage to get the job done. In a small program, an intensivist might share duties with a pulmonary specialist and or hospitalist, each doing whatever they can to share responsibilities.As the program grows, additional intensivists would make up a specialty group and each would take turns doing after hour work or shifts. ...Read more

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How many pediatric intensive care doctors work at night in a childerns hospital?

How many pediatric intensive care doctors work at night in a childerns hospital?

Varies greatly: This is not a simple answer. This depends on the staffing structure of the hospital, the degree of sickness of the patients, and the size of the hospital. There is often at least one doctor "on call" 24 hours a day in a pediatric icu; however, that doctor may not necessarily be physically in the building at all times. ...Read more

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Explain palliative care for adults with cancer in a hospital vs those getting care in hospice?

Explain  palliative care for adults with cancer in a hospital vs those getting care in hospice?

Both ease symptoms!: Pallative care in a hospital is often delivered by a consulting team of clinicians, or in a specialized inpatient unit. Patients at any stage of illness can be helped by palliative care. Hospice is one form of palliative care that usually is delivered at home by a team of specialists, focused on the very last phase of life. ...Read more

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What's tracheostomy care for little children?

What's tracheostomy care for little children?

A few things: Trach tubes for children don't have inner cannulas, so the whole trach tube needs to be taken out and cleaned periodically. I recommend at least every 2 weeks and more often if needed. You need to have training, suction, spare tubes, etc to care for a child with a trach. It is a little more complicated if the child is also on a ventilator. ...Read more

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Where would u have child's MRI w/sedation- children's hospital outpatient center or hospital? Imaging director said only difference is no "code team"?

Where would u have child's MRI w/sedation- children's hospital outpatient center or hospital? Imaging director said only difference is no "code team"?

Hard to say: Many facilities are unique in their approach to this issue and follow strict guidelines on who is present for such a study. In my area they require an anesthesiologist or nurse anesthetist be present whose only job is tending to the patient continuously. A code team down the hall doesn't seem better than a one on one with the leader of such a team. ...Read more

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Assuming you, as a geriatric physician, contracted by either a teaching hospital or a corporation operating --- --- several nursing homes for profit, are charged with examining residents at one or more nursing homes and one such resident discloses being:

Assuming you, as a geriatric physician, contracted by either a teaching hospital or a corporation operating --- --- several nursing homes for profit, are charged with examining residents at one or more nursing homes and one such resident discloses being:

Elder : Elder abuse is a crime. All of us, physicians, nurses, social workers and other staff who work with older individuals and those who do not, are legally and ethically required to report suspected abuse to appropriate authorities. I have attached a link to elder abuse hotlines by state and also a link to a document describing signs of elder abuse. ...Read more

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What kinds of doctors work in the pediatric intensive care unit at children hospitals?

What kinds of doctors work in the pediatric intensive care unit at children hospitals?

Peds intensivistde: Depending on the type of hospital one may find general pediatricians or board certified pediatric intensivists. It may also depend on the"level" of ICU ie are there really sick kids or only moderately i'll children? ...Read more

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Ear problem who to see urgent care or ear specialist?

Ear problem who to see urgent care or ear specialist?

It depends BUT: In most cases an urgent care physician can treat your problem. If not, we will help you see an ear specialist as soon as possible. Urgent care physicians can stabilize a disorder of the ear until you can see an ear specialist if needed. ...Read more

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I'm 61 w/heart, brain, kidney conditions including chf, af, bypass, lacunar stroke. I'm avoiding md visits i need. Could a case manager help me?

I'm 61 w/heart, brain, kidney conditions including chf, af, bypass,  lacunar stroke.  I'm avoiding md visits i need. Could a case manager help me?

No.: A case manager is not a replacement for your doctor by any means. With all those underlying medical conditions, you should be getting care regularly. You can avoid the doctor, but you won't be able to avoid the problems your diseases are bringing. Good luck! ...Read more

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How effective is Benadryl (diphenhydramine) for motility issues to help with severe retching in a former preemie with a g tube nissen?

How effective is Benadryl (diphenhydramine) for motility issues to help with severe retching in a former preemie with a g tube nissen?

Vomiting: it may help. How old is the baby now and how much do they weigh? there are other medications that may be better. You can INBOX consult if need be ...Read more

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Whats difference in approach by pediatric neurosurgery, pediatric oncology, pediatric general surgery?

Whats difference in approach by pediatric neurosurgery, pediatric oncology, pediatric general surgery?

DifferentSpecialties: Each of the doctors mentioned underwent separate residencies focused on their areas of interest. While there may be overlap in particular diseases treated, they would work together to provide optimal care. For example, a pediatric surgeon may be responsible for the surgical removal of a tumor and the oncologist would be responsible for coordinating chemotherapy. ...Read more

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What?Kinds of?Kids qualify to see ?A pediatric allergist.?

What?Kinds of?Kids qualify to see ?A pediatric allergist.?

Many reasons: Possible causes to see an allergist include food allergy, rash, eczema, asthma, or inhalant allergies. ...Read more