letitride123

Hello, Is there a difference between the 2 types of dementia vesicular vs vascular? When looking on line it can be confusing and I was curious. Thank you LIR

I have a friend who is epileptic and recently had 6 seizures while at the hospital on 6/26/10. The doctor is telling me that his confusion, diorientation and postural instability is a result of being in a postictal state. The longest time frame that I can find where someone has symptoms related post seizure is only up to a week. It has been at least 45 days. I think I am getting inaccurate information. Anyone have an answer to how log a postictal state can last? Thank you! LIR

Thank you all for your response. I dismissed myself from the case and am looking at another agency to meet my employment needs.

Thank you for your quick response. I have felt sick about this all day and feel that I am making the right judgement call. It's not about being right, but what is best for the child. Plus I do need to protect myself professionally as well. I am not comfortable with this at all. My question, is how much liquid can a 2 yr old's stomach really hold at one time. I have tried to search on the internet but have not been able to get an accurate answer. I don't think it is possible to perforate a stomach with too much fluid but I certainly do not want him aspirating which I'm sure you are right... it will happen. Thank you so much!

Hello, I recently picked up a pediatric 2 yr old patient that the family is asking us to give Nutren Jr. feedings via a GT Mic-key. The father is adamant about what he wants and has no medical background other than he "knows nutrition and is a body builder." Apparently the father has been giving the feedings as per his knowledge and doing this for the past year and a half. We are to give 135 cc at 8 am, 160 cc at 12 noon, 160 cc at 4 pm and 160 cc at 8 pm. Then at night 11 pm the child gets 55 cc an hour of the feeding until 5 am. Prior to today (and per recent MD order) we were checking for stomach residual prior to giving the first bolus. We were giving the feeding in increments of 60 cc. If the stomach had > 60 cc we were told to hold that dose, check in 15 minutes and give unless still > 60 cc residual. We were to do this checking for residual until the stomach had On my last shift I checked the child's residual for the 12 noon feeding and gave the first 60 cc. For over the next hour and one half each time I checked residual I found that the child had > 60cc of stomach contents. So the feedings did not progress. The mother came in and found that we were still waiting for the stomach to have 60 cc and went ahead and gave him the remainder 100 cc bolus in 15 minutes. Today the supervisor called and said that now the father wants us to do the following: Only check for residual at the beginning of the feeding. If the child has > 60 cc stomach residual then wait for 30 minutes then proceed and give all of the 160 cc over 45 minutes in increments of 60, 60, 60. Not to check again for any stomach residual The problem is that this child has projectile vomiting every morning after the first feeding of 135cc - even if it is given over 2 hours. Rarely he vomits in the afternoon but has on occasion and on rare occasion will vomit during the night. The supervisor said that she would get the child's pediatrician to sign this order that the father wants. I just don't want anything to happen to this child who has Connatal Pelizaues-Merzbacher Disease, FTT, vocal cord paralysis, hypotonia and a trache. He also had a brain stem transplant last year and weighs 25 pounds Please advise. Thank you very much LIR