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Re: hyperemesis caseFrom: ginny lee BSN, GNM (kaupilimakoa@hotmail.com)Sun Oct 29 23:44:23 2000
>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 high I know, if the gut works use it...:) Had that drilled into my head in nursing school. How did you pass the tube, did she require sedation? We used a large bore tube (mistakenly, albeit) on one patient who promptly became combative and removed the tube herself; this was also a hyperemesis patient. Unfortunately, she did not keep food down and required TPN. Interestingly enough, she returned to her physician for an ETOP. This patient doesn't seem to have any social issues and has good family support, very much a desired pregnancy. She continues to vomit at this writing. I'm hoping the OB will consider the tube feeds, it is at least worth a try. The CRNA already attempted a PICC line without success. Also interested to see her TFTs...Thanks so much for all your input, and I loved your pumpkin pics! ginny
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