Golytely

[CAnurse2012]

I am a new nurse and I had a patient with GI bleed. Patient also has fluid overload problem (pulmonary edema, COPD, and CHF). Patient had to drink golytely for bowel prep for procedure. I was scared to give the patient golytely because it made the patient fluid overload and I had to give patient Laxis, but patient's lungs still sounded horrible. Every time I cleaned the patient, patient de-sat down to low 80 and sustained there for least 2-3 minutes to go back. Due to the patient's history, lot of turning/exertion and lung problem, I feel like it is normal for patient. What do you think? My other question is I understand that it is important for patient to drink golytely to investigate on the GI bleed, but will we not worry the the breathing? I feel like I am on the edge of stat response this patient by giving patient's golytely, fluid overload patient's lungs and lot of turnings and desat. I learned that I should not give a COPD patient oxygen? however can I just increase the oxygen for short time when patient desat and turn it down?

[eleectrosaurus]

maybe bipap?

BiPAP Unwrapped: How non-invasive ventilation helps patients in respiratory failure - Patient Care - @ JEMS.com

[PunkBenRN]

I am a new nurse and I had a patient with GI bleed. Patient also has fluid overload problem (pulmonary edema, COPD, and CHF). Patient had to drink golytely for bowel prep for procedure. I was scared to give the patient golytely because it made the patient fluid overload and I had to give patient Laxis, but patient's lungs still sounded horrible. Every time I cleaned the patient, patient de-sat down to low 80 and sustained there for least 2-3 minutes to go back. Due to the patient's history, lot of turning/exertion and lung problem, I feel like it is normal for patient. What do you think? My other question is I understand that it is important for patient to drink golytely to investigate on the GI bleed, but will we not worry the the breathing? I feel like I am on the edge of stat response this patient by giving patient's golytely, fluid overload patient's lungs and lot of turnings and desat. I learned that I should not give a COPD patient oxygen? however can I just increase the oxygen for short time when patient desat and turn it down?

I would check with the doctor, but I don't think it would contribute further to his pulmonary congestion as it is. Go-Lytely is going to move a lot of fluid out, as you will find (it never goes lytely). I could be wrong, but I think that only a nominal amount of this, if any, is absorbed into the body.

If his respiratory status is comprimised, regardless of golytely, you need to intervene some way. You gave lasix, maybe call MD for more? Sounds like its time to ask co-workers for help or call the doctor and ask them directly.

[K+MgSO4, BSN]

http://www.nulytely.com/Collateral/Documents/GoNuLytely/Golytely_Pres_Info.pdf has all of the info

[libran1984, ASN, RN]

"GoLightning"

[CrufflerJJ, BSN, RN, EMT-P]

"GoHeavily"