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G-Tube Placement
Posted by Amber Kimberly on Thursday, April 23, 2009
Under: Caylee
Thurs, 4/23/2009 12:44 AM
1,2,3,4,5,6... Unbelievable!
So she had to have an IV put in tonight before the procedure tomorrow at 11 am. First 4 sticks were nurses... all misses. 5th was the attending physician- hit but it blew before they could flush. I was getting very angry as Caylee was absolutely exhausted by this point. They finally called for a nurse practitioner from the acute NICU that does IV's every day. She hit on first try. The nurses were upset that the NP's made them look stupid... Forget about the pin cushion baby.... Somehow Brian managed to snore through the first 2 misses... pretty impressive actually :)
Needless to say she's sleeping now... She is finishing her last feed right now then it's only IV fluids for the next 36 hours, then they will try pedialyte through the tube. If she handles that well she will get a milk feed and if that goes well she will be back to a regular feeding schedule.
It is a teaching procedure, so there will be lots of observers in the room. Since we moved to the new room, they will come to her... she will not have to be taken anywhere. The whole thing takes about 1 hour- 45 min to set up, 5 min to place, and 10 min to clean up. She will be consciously sedated, so she will get valium & fentanol. She will get IV morphine when they are finished. She will be groggy for about 6-8 hrs after, then they manage pain by her signs & signals. They assure me she will not be in pain. Recovery after the initial 24 hours is pretty quick... we are expecting to be discharged on Monday.
Let everybody know tomorrow how she did... Don't worry.... no news is good news.... Caylee will be fine- for everything she went through for that IV she better get some damn good drugs!
Tiffany Turbin :)
Thurs, 4/23/2009 1:38 PM
All is over, All is well...
Well they finished at about noon- they got started around 10 30... It took a little longer to sedate her & keep her sedated than planned. Doctor came out and said to remember for in the future that she has a high tolerance to narcotics! Once she was completely out, it went really quickly and easily.
She's sleeping now.... probably for most of the afternoon. I think i would really like to do the same after last night! Once the IV was in and we finally fell asleep- beep beep beep... her IV must be manually reset every 60 min, so it has to alarm for a nurse to know to come reset it, & she'll be in when she gets a chance.
She got a tylenol suppository before they started this morning to give her a kick start for pain management. Tomorrow is going to be the hard day from what they're telling me. I think she deserves Morphine after all that!
Right now the tube is "vented" meaning the end of the tube is left open to allow any air to escape and keep her belly from becoming distended. Tomorrow morning they will come turn the tube (like a new earring) & try pedialyte, and depending on that they will try milk. She is on high IV fluids with electrolytes now to prevent dehydration.
I'll try to update again later tonight with how her recovery is going. So far so good....
Tiffany Turbin :)
1,2,3,4,5,6... Unbelievable!
So she had to have an IV put in tonight before the procedure tomorrow at 11 am. First 4 sticks were nurses... all misses. 5th was the attending physician- hit but it blew before they could flush. I was getting very angry as Caylee was absolutely exhausted by this point. They finally called for a nurse practitioner from the acute NICU that does IV's every day. She hit on first try. The nurses were upset that the NP's made them look stupid... Forget about the pin cushion baby.... Somehow Brian managed to snore through the first 2 misses... pretty impressive actually :)
Needless to say she's sleeping now... She is finishing her last feed right now then it's only IV fluids for the next 36 hours, then they will try pedialyte through the tube. If she handles that well she will get a milk feed and if that goes well she will be back to a regular feeding schedule.
It is a teaching procedure, so there will be lots of observers in the room. Since we moved to the new room, they will come to her... she will not have to be taken anywhere. The whole thing takes about 1 hour- 45 min to set up, 5 min to place, and 10 min to clean up. She will be consciously sedated, so she will get valium & fentanol. She will get IV morphine when they are finished. She will be groggy for about 6-8 hrs after, then they manage pain by her signs & signals. They assure me she will not be in pain. Recovery after the initial 24 hours is pretty quick... we are expecting to be discharged on Monday.
Let everybody know tomorrow how she did... Don't worry.... no news is good news.... Caylee will be fine- for everything she went through for that IV she better get some damn good drugs!
Tiffany Turbin :)
Thurs, 4/23/2009 1:38 PM
All is over, All is well...
Well they finished at about noon- they got started around 10 30... It took a little longer to sedate her & keep her sedated than planned. Doctor came out and said to remember for in the future that she has a high tolerance to narcotics! Once she was completely out, it went really quickly and easily.
She's sleeping now.... probably for most of the afternoon. I think i would really like to do the same after last night! Once the IV was in and we finally fell asleep- beep beep beep... her IV must be manually reset every 60 min, so it has to alarm for a nurse to know to come reset it, & she'll be in when she gets a chance.
She got a tylenol suppository before they started this morning to give her a kick start for pain management. Tomorrow is going to be the hard day from what they're telling me. I think she deserves Morphine after all that!
Right now the tube is "vented" meaning the end of the tube is left open to allow any air to escape and keep her belly from becoming distended. Tomorrow morning they will come turn the tube (like a new earring) & try pedialyte, and depending on that they will try milk. She is on high IV fluids with electrolytes now to prevent dehydration.
I'll try to update again later tonight with how her recovery is going. So far so good....
Tiffany Turbin :)
In : Caylee
