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hlh
Senior Member
Joined: 27 Mar 2008
Location: US
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Thanks for your support and ideas.

    It's amazing how terrible communication can be among the different specialists in a tiny community hospital. And how slow things take.

    Finally, his bowels are moving well. Both using the Erythromycin IV (as a bowel motility agent) and Relastor...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Thanks. It is a constant battle.

    They stopped all of his new bowel medicines over the weekend! I only discovered it today, as I wondered why no BM yesterday, and I am so upset. At least he got an Enemeez, but it doesn't do anything on its own. Why did this happen? Who knows..... ...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    The Dolphin mattress is amazing. I am so glad we got it. But his new sore looks terrible. The Dolphin mattress is too late, I'm afraid. We'll have to see how it evolves.

    Everyone is pleased about his bowels. We're definitely still considering the anti-opiate medication, if needed.
    ...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Thanks for your thoughts. I really pushed today and they are getting him a Dolphin mattress. I think they are worried about his sore, and they saw me taking pictures of it...

    Great idea about the OIC med. We talked about starting that, but weaned the fentanyl instead. And then we had...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    His previous wound care physician told me to request a Group 3 bed - Dolphin or Clinitron bed. And ask about TPN. Thoughts?

    It is so difficult to ask for things in a hospital when you are the patient's family.
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Great questions.

    He is still NPO because he is still putting out large amounts of fluid from the NGT. They are still actively decompressing him. There is an argument/disagreement among his doctors whether he has a partial obstruction, an ileus, or some of both. There are also some subtle...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Today we tried a Dulcolax, and then an old version Enemeez (no PEG added yet - because that was the only version I had at home and the hospital didn't have any) and an enema. Nothing yet. He is not backed up per se. He just doesn't respond to stimulation from below well at all. Never did. Plus...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Of course, my Dad has already had bad skin issues. They were able to get him on a LAL mattress, but not for the first day in the ER/ICU and his turn schedule has been erratic at best. When he is critically ill, there is only so much I can do with pushing the nurses before they totally hate me, and I...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Thank you for all of your input CWO!

    Enemeez and Peristeen did not work well for my Dad in the past. A colace suppository alone didn't help now in the ICU. But I ordered Enemeez. They definitely do not have that at our hospital and wont take my (old....) samples to use. I hadn't realized...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    The abdominal CT scan shows some ileus/possible partial small bowel obstruction type changes but they are intermittent/chronic. No impaction. His stool burden is always high, and that is normal for him. He was moving his bowels every day until he came to the hospital Sunday morning, and even moved...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Thank you Bonnette.

    I am so sorry to hear that you can relate to this from personal experience. It is a little bit of torture.

    I appreciate your good wishes more than you can know....
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Thank you for your thoughts, KLD.

    Yes, he is NPO, intubated with an NGT.

    I appreciate the colace enema suggestion. It likely isn't available here but I will ask.
    Today I at least got them to try a dulcolax suppository and I found a GI NP who understood neurogenic...
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    Thank you Jim. Truly....
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  • hlh
    replied to My Dad is intubated in the ICU
    in Care
    If the first one doesn't have an effect, would you stack them.... then use the next one? When - at what interval? And when would you do the Digital Stim relative to the suppository/enemeez?...
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  • hlh
    started a topic My Dad is intubated in the ICU
    in Care

    My Dad is intubated in the ICU

    Bad weekend for my sweet Dad.

    He is almost 80 years old, injured 15 years ago (incomplete para L3 ASIA C) and has a lot of medical problems lately unrelated to his SCI. He is immunocompromised and has been having recurrent pneumonias and partial bowel obstructions that are likely caused...
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