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I have a question (or 2 or more!)Mom had a G tube placed last month after her cancer surgery.
She receives Perative 5x day.
#1) How much water should she be getting? Mom has always been a big water drinker, and I want to keep her well hydrated through this mess...
Her stools have been pretty loose, but she just went through a course of Augmentin too (finished now). If this continues, what can I give her to firm it up? I was giving her Immodium, it would help short term.
#2) Also, when she was in the hospital, she was put on insulin (reg~sliding scale) before each feeding. Now her doc has her on Lantus 20U qAM. Never before was she diabetic. This is a sudden change for her (in addition to everything else). Could the formula itself be causing the increased blood sugars? Should I ask the doc to maybe give her Diabetasource instead of Perative to see if the levels go down? I just can't help but wonder if the formula is what's causing her to have increased blood sugars and she really DOESN'T have diabetes. She's not been tested.
#3) Since Reglan helps with peristalsis in the upper GI tract, is there another med that does the same? Mom has been having quite a few bouts of confusion (and diarrhea) and I am wondering if it could be the cause. Maybe we could try something else.
I sure would appreciate everyones input on this. It just doesn't seem that I am getting too much cooperation from the doctors and frankly, they are starting to pi** me off!
I'd like to be armed with ideas to try before I go back again to try and reason with them for some changes.
Thanks again everyone!
Some of your questions only her Doc, should be answering. I can tell you Reglan does cause confusion and diarrhea.
I understand how frustrating it is when the docs don't talk with you but just keep at them. I don't think the rest of your question we can answer, sorry.
Could you call the dietician at the hospital? I know our dietcians don't mind getting calls from d/c'd patients. She/he might be able to recommend the amount of free water necessary.
Changing feedings would indeed be a question for the MD.
I usually hold reglan in patients with diarrhea, especially if there are no gastric volume residuals. Yes it can cause confusion.
jschut, BSN, RN
2,743 Posts
I have a question (or 2 or more!)
Mom had a G tube placed last month after her cancer surgery.
She receives Perative 5x day.
#1) How much water should she be getting? Mom has always been a big water drinker, and I want to keep her well hydrated through this mess...
Her stools have been pretty loose, but she just went through a course of Augmentin too (finished now). If this continues, what can I give her to firm it up? I was giving her Immodium, it would help short term.
#2) Also, when she was in the hospital, she was put on insulin (reg~sliding scale) before each feeding. Now her doc has her on Lantus 20U qAM. Never before was she diabetic. This is a sudden change for her (in addition to everything else). Could the formula itself be causing the increased blood sugars? Should I ask the doc to maybe give her Diabetasource instead of Perative to see if the levels go down? I just can't help but wonder if the formula is what's causing her to have increased blood sugars and she really DOESN'T have diabetes. She's not been tested.
#3) Since Reglan helps with peristalsis in the upper GI tract, is there another med that does the same? Mom has been having quite a few bouts of confusion (and diarrhea) and I am wondering if it could be the cause. Maybe we could try something else.
I sure would appreciate everyones input on this. It just doesn't seem that I am getting too much cooperation from the doctors and frankly, they are starting to pi** me off!
I'd like to be armed with ideas to try before I go back again to try and reason with them for some changes.
Thanks again everyone!