Friday, January 7, 2011

Restful Night / Day -5

Clara did throw up around 12:30am. She went right back to sleep and
essentially slept straight through the night. She woke at 5:30 when
she peed through her diaper. After having a nursing she went back to
sleep and hasn't woken up yet or thrown up again.
I've asked the doctors to switch her to TPN which is food through IV.
This way she can breastfeed as she likes but I don't have to keep
filling her upset tummy with food. Their original plan was to remove
the NG and put her on TPN upon admission but I asked them to hold off
as I wanted her tummy to continue digesting as long as possible. There
are still a couple of meds that they are giving her by mouth so I
don't want to pull the NG if they can't turn them into IV meds. We
will see what they say.

EDIT: One med ends in a couple of days and the other can't be put into IV.  We are going to keep the NG, and since she hasn't thrown up again, keep going with the NG feeds.  She's doing okay with the one she's getting right now.

EDIT: Apparently, the previous edit did not include accurate information because it was the nurse's knowledge and opinion.  The Doctors have actually approved NG removal (she ended up throwing up her one NG feed this morning), are moving her current oral meds to IV, and are not starting TPN until after she gets done with cyclophosphomide on Sunday.  They have to be very careful about how much fluid they give her so they don't want her getting any feeds this weekend - oral or IV.

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