Re: hyperemesis case

From: Joanne Bulley (islesannie@yahoo.com)
Mon Oct 30 18:13:43 2000


Thanks, Gail!

JB

At Mon, 30 Oct 2000, Gail Waldby wrote: >
>They still exist. They are small not large tubes which are passed at the
>bedside through the nose. Dobbhoff does sell a longer version to be placed
>nasojejunally at endoscopy.
>Gail Waldby, MD
>Huron SD 57350
>

>> >
>> >>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.

--
Joanne Bulley, MD, FACOG
Keene, NH, USA

Take time to smell the roses.





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