I would love to hear your opinion on this issue.
I have an 87 yrs asian female patient with gastric cancer that metastasize to other organs. She was admitted to hospice after having part of her stomach remove. She was doing good for 2 months. Recently, she nauseated and vomited 5-6 times a day, increased the frequency at night, the emesis is coffee ground in small to moderate amount. Pt is on Zofran 4mg dissolve on tongue every 6hr around the clock, reglan 10mg tid 30mins before meals. The meds has no longer effective in controlling her n/v symptoms, it reduced the severity but not very much. Family is extremely anxious, pt looks uncomfortable, visible weight loss, she has no pain, v/s: t 97.4-96.9, pulse 87-94, resp 14-16, o2 >97%, bp 98-118/56-78, BM every day 1-2 times a day.
Dr.order protonix po (i forgot the dosage) and NGT intermittent suction. The patient is a very small lady that weight probably less than 80lbs.
Do you think NGT is a good idea? Why or why not? The dr. insisted on NGT with pediatric size tube; the DON insisted on not too, so I decide I would ask nurses here.
Thank you for your input.
Also, I'm giving out the Hospice Quickflip from Corridor Group (2 of them). Have to buy as a package of 4, and realize they're all the same, so I only need one. :)) so just pm me.