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Re: hyperemesis case From: Joanne Bulley (islesannie@yahoo.com) Mon Oct 30 17:51:17 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein, MD: "Re: Update on 2 cases" Previous message: Kathi Wilson: "Re: Update on 2 cases" In reply to: ginny lee BSN, GNM: "Re: hyperemesis case" Next in thread: Gail Waldby: "Re: hyperemesis case" Reply: Gail Waldby: "Re: hyperemesis case" As I recall - testing the neurons :) - it was put in like an NG tube - Our senior resident Steve dubin was the one who decided to do this and I think he passed the tube - might have to ask an older GI doc about how those were usually passed. JB At Mon, 30 Oct 2000, ginny lee BSN, GNM wrote: > >>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 > -- Joanne Bulley, MD, FACOG Keene, NH, USA Take time to smell the roses. Next message: Geffrey Klein, MD: "Re: Update on 2 cases" Previous message: Kathi Wilson: "Re: Update on 2 cases" In reply to: ginny lee BSN, GNM: "Re: hyperemesis case" Next in thread: Gail Waldby: "Re: hyperemesis case" Reply: Gail Waldby: "Re: hyperemesis case"

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