Thursday, February 25, 2010

G-Tube


The Problem:

Aspiration syndromes include all conditions in which foreign substances are inhaled into the lungs. Most commonly, aspiration syndromes involve oral or gastric contents associated with gastroesophageal reflux (GER), swallowing dysfunction, neurological disorders, and structural abnormalities.

Complications:

Chronic lung disease may develop from repeated aspiration of refluxate.
Pulmonary fibrosis may occur over time secondary to repeated aspiration of small volumes of gastric secretions, promoting a progressive fibrotic pulmonary response.
Chronic bronchitis and bronchiectasis are also recognized complications.

The Solution:

Dear Parent/Guardian,

Dermot Sullivan, has been scheduled for a procedure at Children's Minneapolis with Dr. XXXXXXX on 03/01/2010 for their PEG Insert Standard G Tube. Here are the items to be done to prepare for your child's procedure:

HISTORY AND PHYSICAL EXAM: This must be completed within 7 days of your child's procedure. (This includes the day of appointment.) Please arrange this between 02/23/2010 and 03/01/2010. You will need to see your child's primary physician or pediatrician for this exam. The most important piece to this step is that you HAND CARRY a complete History and Physical examination from your primary physician/pediatrician's office to check in at the above medical facility.

DIET RESTRICTIONS: You will need to carefully monitor and follow these restrictions to your child's diet.
Clear Liquids until: 8:30 AM (2 hours prior to arrival) your child may have clear liquids. Please see the Clear Liquid Diet Guidelines.
Milk products and formula until: 4:30 AM (6 hours prior to arrival)
Solids until: 2:30 AM (8 hours prior to arrival)
Special Instructions: 2/24 Office Visit okay for Pre-Op

To meet energy needs, please include liquids that both contain sugar as well as those without. If your child is a diabetic, consult your physician for a diabetic meal plan.
Please call our office if you have any questions:


Clear Liquid Diet Guidelines

Allowed Not Allowed
Water Dairy Products (milk, cheese, etc)
Broth (no noodles) Cream Soups
Coffee Meat, Fish, Fowl
Tea, regular or decaf Red or purple juices, pop
Carbonated beverages Juice with pulp (orange, tomato, etc)
Gatorade (not red or purple) Bread, pasta, rice, potatoes
Flavored Gelatin
Plain juice popsicles Cereal
Plain hard candy Vegetables, fruits
Pedialyte Desserts (cakes, cookies)
Strained fruit juices (no pulp) Soft candy (chocolate, candy bars)
Honey, sugar, salt, pepper Nuts, seeds, popcorn

Please Note:
If you have Diabetes, please ask your regular doctor for diet and medication restrictions.
Oral laxatives may cause mild cramping, bloating or nausea. Always stay near a toilet when using laxatives.
Your child may have nothing by mouth for three hours prior to the procedure. Your child may have nothing to eat or drink after on .

Morning Medications: If medication is taken in the morning, please take 3 hours prior or hold mediation until after procedure.

REGISTERING: Please arrive at the above mentioned facility at 10:30 AM, your procedure will start at 12:00 PM.

GOING HOME: Your child may require between 1 to 4 hours to recover from sedation (if sedation is required) used during the procedure, please add this to your expected time to be at Children's. After your child's physician(s) feel that he/she will be allowed to go home.

If you have any questions or need to reschedule, please feel free to call the office and press option number 1 for scheduling.

Exit Scheduler

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