RE: Phlebitis ( A Red IV Site) After Surgery

[Guest guest]

<< Check out the web page for new videos and data showing the little ole'

Mini-Gastric Bypass may be out performing the Biliopancreatic Diversion -

Duodenal Switch Operation! >>

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[Guest guest]

Dr R,

Would an oral antibiotic be more liable to cause a yeast infection, or to

upset the natural flora of the digestive system??? I know it would help the

IV problems, I remeber that IV antibiotics are hard on the 'ole veins.

Just wondering if it would help or hinder the recovery of the gastric

system? Thanks, Paige

>

>Reply-To: MiniGastricBypassonelist

>To: <MiniGastricBypassonelist>

>CC: " JVE123aol (DOT) com "

>Subject: Phlebitis ( A Red IV Site) After Surgery

>Date: Sun, 9 Jan 2000 19:50:05 -0000

>

>Hi,

>

>After and others pointed out the potential association of IV

>medications and their phlebitis. I reviewed my orders to see if I could

>cut

>down on IV meds.

>

>This also has the potential to make the hospital care less expensive and

>easier on the Nursing staff.

>

>While not completed I found several changes that I think will help.

>

>1) No more post op Gentamicin (probably not needed anyway) we have had 0

>wound infections.

>2) Switch 3 bags of IV Zantac per day to 1 Prilosec pill per day (cheaper,

>better and more effective).

>3) No more IV Reglan three times a day (did not seem to be helping).

>4) Switch IV Benadryl to oral liquid Benadryl.

>5) Switch from IV Toradol to oral Celebrex.

>

>

>Other changes:

>No Post Op Gastrograffin swallow.

>No Intraoperative endoscopy

>Start ice chips and sips on the first day.

>No Foley (bladder) catheter

>No abdominal drain

>

>

>Considering:

>If the IV comes out after 12 hours leave it out and go to liquids in

>otherwise healthy patients.

>Switch from IV Cefotetan (Antibiotic) to oral Levoquin.

>

>Oh well that is the latest.

>Ideas and comments are welcome.

>

>Also of note.

>

>Check out the web page for new videos and data showing the little ole'

>Mini-Gastric Bypass may be out performing the Biliopancreatic Diversion -

>Duodenal Switch Operation!

>

>Later...

>

>RR

>

> Rutledge, M.D., F.A.C.S.

>The Center for Laparoscopic Obesity Surgery

>4301 Ben lin Blvd.

>P. O. Box 15698, Durham, North Carolina 27704

>Telephone #:

>Fax #:

>E mail: Dr_Rutledge@... (Note: There is an “_” between the Dr and

>Rutledge in my email address

>******************************************

>Please Visit our Web site: http://clos.net

>******************************************

>Durham Regional Hospital:

>

>Also, Please consider joining one of the

>Mini-Gastric Bypass Mailing Lists

>at http://www.onelist.com

>

>MiniGastircBypass is a general discussion of the Mini-Gastric Bypass

>( http://www.onelist.com/community/MiniGastricBypass )

>

>Talk with lots of other Pre and Post Op

> patients and friends.

>Keep up to date on the latest news about

> the Mini-Gastric Bypass.

>

>

>

______________________________________________________

Get Your Private, Free Email at http://www.hotmail.com

[Guest guest]

> Dr R,

> Would an oral antibiotic be more liable to cause a yeast infection, or to

> upset the natural flora of the digestive system??? I know it

> would help the

> IV problems, I remember that IV antibiotics are hard on the 'ole veins.

Hey Just what I am thinking about...

Oral antibiotics are usually not as powerful and may upset the gut

but...

IV Antibiotics can be a common cause of phlebitis...

So...

I am thinking on it...

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

P. O. Box 15698, Durham, North Carolina 27704

Telephone #:

Fax #:

E mail: Dr_Rutledge@... (Note: There is an “_” between the Dr and

Rutledge in my email address

******************************************

Please Visit our Web site: http://clos.net

******************************************

Durham Regional Hospital:

Also, Please consider joining one of the

Mini-Gastric Bypass Mailing Lists

at http://www.onelist.com

MiniGastircBypass is a general discussion of the Mini-Gastric Bypass

( http://www.onelist.com/community/MiniGastricBypass )

Talk with lots of other Pre and Post Op

patients and friends.

Keep up to date on the latest news about

the Mini-Gastric Bypass.

> Phlebitis ( A Red IV Site) After Surgery

> >Date: Sun, 9 Jan 2000 19:50:05 -0000

> >

> >Hi,

> >

> >After and others pointed out the potential association of IV

> >medications and their phlebitis. I reviewed my orders to see if I could

> >cut

> >down on IV meds.

> >

> >This also has the potential to make the hospital care less expensive and

> >easier on the Nursing staff.

> >

> >While not completed I found several changes that I think will help.

> >

> >1) No more post op Gentamicin (probably not needed anyway) we have had 0

> >wound infections.

> >2) Switch 3 bags of IV Zantac per day to 1 Prilosec pill per day

> (cheaper,

> >better and more effective).

> >3) No more IV Reglan three times a day (did not seem to be helping).

> >4) Switch IV Benadryl to oral liquid Benadryl.

> >5) Switch from IV Toradol to oral Celebrex.

> >

> >

> >Other changes:

> >No Post Op Gastrograffin swallow.

> >No Intraoperative endoscopy

> >Start ice chips and sips on the first day.

> >No Foley (bladder) catheter

> >No abdominal drain

> >

> >

> >Considering:

> >If the IV comes out after 12 hours leave it out and go to liquids in

> >otherwise healthy patients.

> >Switch from IV Cefotetan (Antibiotic) to oral Levoquin.

> >

> >Oh well that is the latest.

> >Ideas and comments are welcome.

> >

> >Also of note.

> >

> >Check out the web page for new videos and data showing the little ole'

> >Mini-Gastric Bypass may be out performing the Biliopancreatic Diversion -

> >Duodenal Switch Operation!

> >

> >Later...

> >

> >RR

> >

> > Rutledge, M.D., F.A.C.S.

> >The Center for Laparoscopic Obesity Surgery

> >4301 Ben lin Blvd.

> >P. O. Box 15698, Durham, North Carolina 27704

> >Telephone #:

> >Fax #:

> >E mail: Dr_Rutledge@... (Note: There is an “_” between the Dr and

> >Rutledge in my email address

> >******************************************

> >Please Visit our Web site: http://clos.net

> >******************************************

> >Durham Regional Hospital:

> >

> >Also, Please consider joining one of the

> >Mini-Gastric Bypass Mailing Lists

> >at http://www.onelist.com

> >

> >MiniGastircBypass is a general discussion of the Mini-Gastric Bypass

> >( http://www.onelist.com/community/MiniGastricBypass )

> >

> >Talk with lots of other Pre and Post Op

> > patients and friends.

> >Keep up to date on the latest news about

> > the Mini-Gastric Bypass.

> >

> >

> >

>

> ______________________________________________________

> Get Your Private, Free Email at http://www.hotmail.com

>

>

> ---------------------------

[Guest guest]

> Dr R,

> Would an oral antibiotic be more liable to cause a yeast infection, or to

> upset the natural flora of the digestive system??? I know it

> would help the

> IV problems, I remember that IV antibiotics are hard on the 'ole veins.

Hey Just what I am thinking about...

Oral antibiotics are usually not as powerful and may upset the gut

but...

IV Antibiotics can be a common cause of phlebitis...

So...

I am thinking on it...

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

P. O. Box 15698, Durham, North Carolina 27704

Telephone #:

Fax #:

E mail: Dr_Rutledge@... (Note: There is an “_” between the Dr and

Rutledge in my email address

******************************************

Please Visit our Web site: http://clos.net

******************************************

Durham Regional Hospital:

Also, Please consider joining one of the

Mini-Gastric Bypass Mailing Lists

at http://www.onelist.com

MiniGastircBypass is a general discussion of the Mini-Gastric Bypass

( http://www.onelist.com/community/MiniGastricBypass )

Talk with lots of other Pre and Post Op

patients and friends.

Keep up to date on the latest news about

the Mini-Gastric Bypass.

> Phlebitis ( A Red IV Site) After Surgery

> >Date: Sun, 9 Jan 2000 19:50:05 -0000

> >

> >Hi,

> >

> >After and others pointed out the potential association of IV

> >medications and their phlebitis. I reviewed my orders to see if I could

> >cut

> >down on IV meds.

> >

> >This also has the potential to make the hospital care less expensive and

> >easier on the Nursing staff.

> >

> >While not completed I found several changes that I think will help.

> >

> >1) No more post op Gentamicin (probably not needed anyway) we have had 0

> >wound infections.

> >2) Switch 3 bags of IV Zantac per day to 1 Prilosec pill per day

> (cheaper,

> >better and more effective).

> >3) No more IV Reglan three times a day (did not seem to be helping).

> >4) Switch IV Benadryl to oral liquid Benadryl.

> >5) Switch from IV Toradol to oral Celebrex.

> >

> >

> >Other changes:

> >No Post Op Gastrograffin swallow.

> >No Intraoperative endoscopy

> >Start ice chips and sips on the first day.

> >No Foley (bladder) catheter

> >No abdominal drain

> >

> >

> >Considering:

> >If the IV comes out after 12 hours leave it out and go to liquids in

> >otherwise healthy patients.

> >Switch from IV Cefotetan (Antibiotic) to oral Levoquin.

> >

> >Oh well that is the latest.

> >Ideas and comments are welcome.

> >

> >Also of note.

> >

> >Check out the web page for new videos and data showing the little ole'

> >Mini-Gastric Bypass may be out performing the Biliopancreatic Diversion -

> >Duodenal Switch Operation!

> >

> >Later...

> >

> >RR

> >

> > Rutledge, M.D., F.A.C.S.

> >The Center for Laparoscopic Obesity Surgery

> >4301 Ben lin Blvd.

> >P. O. Box 15698, Durham, North Carolina 27704

> >Telephone #:

> >Fax #:

> >E mail: Dr_Rutledge@... (Note: There is an “_” between the Dr and

> >Rutledge in my email address

> >******************************************

> >Please Visit our Web site: http://clos.net

> >******************************************

> >Durham Regional Hospital:

> >

> >Also, Please consider joining one of the

> >Mini-Gastric Bypass Mailing Lists

> >at http://www.onelist.com

> >

> >MiniGastircBypass is a general discussion of the Mini-Gastric Bypass

> >( http://www.onelist.com/community/MiniGastricBypass )

> >

> >Talk with lots of other Pre and Post Op

> > patients and friends.

> >Keep up to date on the latest news about

> > the Mini-Gastric Bypass.

> >

> >

> >

>

> ______________________________________________________

> Get Your Private, Free Email at http://www.hotmail.com

>

>

> ---------------------------

[Guest guest]

> Dr R,

> Would an oral antibiotic be more liable to cause a yeast infection, or to

> upset the natural flora of the digestive system??? I know it

> would help the

> IV problems, I remember that IV antibiotics are hard on the 'ole veins.

Hey Just what I am thinking about...

Oral antibiotics are usually not as powerful and may upset the gut

but...

IV Antibiotics can be a common cause of phlebitis...

So...

I am thinking on it...

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

P. O. Box 15698, Durham, North Carolina 27704

Telephone #:

Fax #:

E mail: Dr_Rutledge@... (Note: There is an “_” between the Dr and

Rutledge in my email address

******************************************

Please Visit our Web site: http://clos.net

******************************************

Durham Regional Hospital:

Also, Please consider joining one of the

Mini-Gastric Bypass Mailing Lists

at http://www.onelist.com

MiniGastircBypass is a general discussion of the Mini-Gastric Bypass

( http://www.onelist.com/community/MiniGastricBypass )

Talk with lots of other Pre and Post Op

patients and friends.

Keep up to date on the latest news about

the Mini-Gastric Bypass.

> Phlebitis ( A Red IV Site) After Surgery

> >Date: Sun, 9 Jan 2000 19:50:05 -0000

> >

> >Hi,

> >

> >After and others pointed out the potential association of IV

> >medications and their phlebitis. I reviewed my orders to see if I could

> >cut

> >down on IV meds.

> >

> >This also has the potential to make the hospital care less expensive and

> >easier on the Nursing staff.

> >

> >While not completed I found several changes that I think will help.

> >

> >1) No more post op Gentamicin (probably not needed anyway) we have had 0

> >wound infections.

> >2) Switch 3 bags of IV Zantac per day to 1 Prilosec pill per day

> (cheaper,

> >better and more effective).

> >3) No more IV Reglan three times a day (did not seem to be helping).

> >4) Switch IV Benadryl to oral liquid Benadryl.

> >5) Switch from IV Toradol to oral Celebrex.

> >

> >

> >Other changes:

> >No Post Op Gastrograffin swallow.

> >No Intraoperative endoscopy

> >Start ice chips and sips on the first day.

> >No Foley (bladder) catheter

> >No abdominal drain

> >

> >

> >Considering:

> >If the IV comes out after 12 hours leave it out and go to liquids in

> >otherwise healthy patients.

> >Switch from IV Cefotetan (Antibiotic) to oral Levoquin.

> >

> >Oh well that is the latest.

> >Ideas and comments are welcome.

> >

> >Also of note.

> >

> >Check out the web page for new videos and data showing the little ole'

> >Mini-Gastric Bypass may be out performing the Biliopancreatic Diversion -

> >Duodenal Switch Operation!

> >

> >Later...

> >

> >RR

> >

> > Rutledge, M.D., F.A.C.S.

> >The Center for Laparoscopic Obesity Surgery

> >4301 Ben lin Blvd.

> >P. O. Box 15698, Durham, North Carolina 27704

> >Telephone #:

> >Fax #:

> >E mail: Dr_Rutledge@... (Note: There is an “_” between the Dr and

> >Rutledge in my email address

> >******************************************

> >Please Visit our Web site: http://clos.net

> >******************************************

> >Durham Regional Hospital:

> >

> >Also, Please consider joining one of the

> >Mini-Gastric Bypass Mailing Lists

> >at http://www.onelist.com

> >

> >MiniGastircBypass is a general discussion of the Mini-Gastric Bypass

> >( http://www.onelist.com/community/MiniGastricBypass )

> >

> >Talk with lots of other Pre and Post Op

> > patients and friends.

> >Keep up to date on the latest news about

> > the Mini-Gastric Bypass.

> >

> >

> >

>

> ______________________________________________________

> Get Your Private, Free Email at http://www.hotmail.com

>

>

> ---------------------------

[Guest guest]

You are so good to us!!!! Only you would take time out of your day to think

uponst the varied flora of our respective systems. Maybe some acidopholus

to go with the antibiotics?? Lemme know what you decide!( Just out of

curiosity!!!) PS my vote, I would rather have phlebitus than the dreaded

yeasties!!!

>

>Reply-To: MiniGastricBypassonelist

>To: <MiniGastricBypassonelist>

>Subject: RE: Phlebitis ( A Red IV Site) After Surgery

>Date: Wed, 12 Jan 2000 20:08:31 -0000

>

> > Dr R,

> > Would an oral antibiotic be more liable to cause a yeast infection, or

>to

> > upset the natural flora of the digestive system??? I know it

> > would help the

> > IV problems, I remember that IV antibiotics are hard on the 'ole

>veins.

>

>Hey Just what I am thinking about...

>

>Oral antibiotics are usually not as powerful and may upset the gut

>

>but...

>

>IV Antibiotics can be a common cause of phlebitis...

>

>So...

>

>I am thinking on it...

>

>RR

>

> Rutledge, M.D., F.A.C.S.

>The Center for Laparoscopic Obesity Surgery

>4301 Ben lin Blvd.

>P. O. Box 15698, Durham, North Carolina 27704

>Telephone #:

>Fax #:

>E mail: Dr_Rutledge@... (Note: There is an “_” between the Dr and

>Rutledge in my email address

>******************************************

>Please Visit our Web site: http://clos.net

>******************************************

>Durham Regional Hospital:

>

>Also, Please consider joining one of the

>Mini-Gastric Bypass Mailing Lists

>at http://www.onelist.com

>

>MiniGastircBypass is a general discussion of the Mini-Gastric Bypass

>( http://www.onelist.com/community/MiniGastricBypass )

>

>Talk with lots of other Pre and Post Op

> patients and friends.

>Keep up to date on the latest news about

> the Mini-Gastric Bypass.

>

>

>

> > Phlebitis ( A Red IV Site) After Surgery

> > >Date: Sun, 9 Jan 2000 19:50:05 -0000

> > >

> > >Hi,

> > >

> > >After and others pointed out the potential association of IV

> > >medications and their phlebitis. I reviewed my orders to see if I

>could

> > >cut

> > >down on IV meds.

> > >

> > >This also has the potential to make the hospital care less expensive

>and

> > >easier on the Nursing staff.

> > >

> > >While not completed I found several changes that I think will help.

> > >

> > >1) No more post op Gentamicin (probably not needed anyway) we have had

>0

> > >wound infections.

> > >2) Switch 3 bags of IV Zantac per day to 1 Prilosec pill per day

> > (cheaper,

> > >better and more effective).

> > >3) No more IV Reglan three times a day (did not seem to be helping).

> > >4) Switch IV Benadryl to oral liquid Benadryl.

> > >5) Switch from IV Toradol to oral Celebrex.

> > >

> > >

> > >Other changes:

> > >No Post Op Gastrograffin swallow.

> > >No Intraoperative endoscopy

> > >Start ice chips and sips on the first day.

> > >No Foley (bladder) catheter

> > >No abdominal drain

> > >

> > >

> > >Considering:

> > >If the IV comes out after 12 hours leave it out and go to liquids in

> > >otherwise healthy patients.

> > >Switch from IV Cefotetan (Antibiotic) to oral Levoquin.

> > >

> > >Oh well that is the latest.

> > >Ideas and comments are welcome.

> > >

> > >Also of note.

> > >

> > >Check out the web page for new videos and data showing the little ole'

> > >Mini-Gastric Bypass may be out performing the Biliopancreatic Diversion

>-

> > >Duodenal Switch Operation!

> > >

> > >Later...

> > >

> > >RR

> > >

> > > Rutledge, M.D., F.A.C.S.

> > >The Center for Laparoscopic Obesity Surgery

> > >4301 Ben lin Blvd.

> > >P. O. Box 15698, Durham, North Carolina 27704

> > >Telephone #:

> > >Fax #:

> > >E mail: Dr_Rutledge@... (Note: There is an “_” between the Dr and

> > >Rutledge in my email address

> > >******************************************

> > >Please Visit our Web site: http://clos.net

> > >******************************************

> > >Durham Regional Hospital:

> > >

> > >Also, Please consider joining one of the

> > >Mini-Gastric Bypass Mailing Lists

> > >at http://www.onelist.com

> > >

> > >MiniGastircBypass is a general discussion of the Mini-Gastric Bypass

> > >( http://www.onelist.com/community/MiniGastricBypass )

> > >

> > >Talk with lots of other Pre and Post Op

> > > patients and friends.

> > >Keep up to date on the latest news about

> > > the Mini-Gastric Bypass.

> > >

> > >

> > >

> >

> > ______________________________________________________

> > Get Your Private, Free Email at http://www.hotmail.com

> >

> >

> > ---------------------------