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Re: hyperemesis case From: Joanne Bulley (islesannie@yahoo.com) Sun Oct 29 20:28:14 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley: "Re: VBAC" Previous message: Paul Prior MD: "Re: hyperememsis" In reply to: ginny lee BSN, GNM: "Re: hyperemesis case" Next in thread: ginny lee BSN, GNM: "Re: hyperemesis case" Reply: ginny lee BSN, GNM: "Re: hyperemesis case" Reply: Richard Chudacoff, MD: "Re: hyperemesis case" This goes WAY back for me - residency (83-84) - We once went to a Dubhoff feeding tube after first using central hyperal in one hyperem patient. Basically said the risk of central hyperal when the gi tract worked was too hig. For those that don't know - it is basically a large bore NG that has a special weight to get it into the duodenum. After 48 hours she said, "I think food will stay down - just take that thing out." She still had some problems - but overall kept the food down and gained weight and stayed out of the hospital. Joanne At Sun, 29 Oct 2000, ginny lee BSN, GNM wrote: > >We usually see excellent results with Zofran also, not in this case. We >typically use 4 mg IV q4, now up to 8 mg q6 with this gal and no results >:( >Dieticians have suggested small bore continuous tube feeds, pt usually >has to be pretty miserable before they (the pt) agree. The idea of a >post-pyloric feed is intriguing, I will definitely bring it up. Also >acupuncture was suggested by one of the listers which would also be an >excellent option here in Hawaii---depends on the cost though since HMSA >won't cover it. Aloha and mahalo for all the suggestions >ginny -- Joanne Bulley, MD, FACOG Keene, NH, USA Take time to smell the roses. Next message: Joanne Bulley: "Re: VBAC" Previous message: Paul Prior MD: "Re: hyperememsis" In reply to: ginny lee BSN, GNM: "Re: hyperemesis case" Next in thread: ginny lee BSN, GNM: "Re: hyperemesis case" Reply: ginny lee BSN, GNM: "Re: hyperemesis case" Reply: Richard Chudacoff, MD: "Re: hyperemesis case"

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