G-tube leaking :(

[umcRN]

So I am taking care of an approx 6kg baby girl who it fed via gtube and hers leaks something awful! Due to her resp issues she is positoned prone or on her side 90% of the time, she cannot tolerate her back. She is fed bolus over 90mins during the day and cont olvernight, neither seems to make a difference. Surgery has one already removed the button (mickey) for four hours to make the hole smaller and it seemed to work temporarily but we are back to leaking again. Any suggestions? The site looks great but she is soaking through clothes & blankets, and she in on some pretty important po meds too

[Esme12, ASN, BSN, RN]

She passed away this past Thursday morning, I was lucky to be her nurse that day to help her parents through it. She won't need her g-tube anymore in heaven :heartbeat. Very sad, very quick, she went faster than anyone thought she would, but in the end she blew pneumo and her parents made the brave decision not to put her through a chest tube, which at that point she likely would not have survived through anyways.

Thanks for asking and for all the advice from everyone! And from everyone who posted about hospitals, I am always looking to see what other hospitals are like and how they function. I am hoping to travel for a bit before heading back to Boston so I'm definitely interested in trying a variety of units.

I am so sorry......... She was very lucky to have you for a nurse...........and the nursing profession is better for you being in it.......:redbeathe

[rachelgeorgina]

I'm sorry to hear about your little patient.

I am really interested in the convo that's going regarding the paedi centres in the area though! If anyone else has anything at all to add to it I'm keen to read it. I'm an Aussie third/final year student and really keen on paeds. I'm interested to hear/learn as much as possible about anything at all related. I've been really interested in how things work in those major centres in the US. It's interesting to be hearing from nurses that actually work there.