Guest guest Posted April 5, 2005 Report Share Posted April 5, 2005 Next time Dalia is so sick, do not take her home until she is eating or tolerating feeds. I am surprised that they let you take her home once she cleared her ketones. Max usually has a 5 day hospital stay for any stomach issue. He first has to have gut rest and IV fluids to rehydrate and get rid of ketones. Then they put him on clears. Once he tolerates those, they move up to soft foods and then to regular. When he was g-tube fed, they would first give him Pedialyte, then 1/4 formula and 3/4 Pedialyte and so on until he tolerated at least 3/4 strength. Watch Dalia closely. If she has not cleared those ketones, she needs to be readmitted. And do NOT take her home until she can tolerate that formula. Jodi Z Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2005 Report Share Posted April 5, 2005 Well actually they did start her on the lactose free formula in the hospital and waited awhile to see if she tolerated it. We waited about 5 hours..maybe not long enough? She did tolerate it all day today..that is the lactose free stuff I'm referring to. We haven't tried Pediasure yet..that will be in the morning. I have learned so much from this and will be much quicker to respond and know better what to do - if there is a next time...hopefully there wont. Thanks. > > Next time Dalia is so sick, do not take her home until she is eating > or tolerating feeds. I am surprised that they let you take her home > once she cleared her ketones. Max usually has a 5 day hospital stay > for any stomach issue. He first has to have gut rest and IV fluids to > rehydrate and get rid of ketones. Then they put him on clears. Once > he tolerates those, they move up to soft foods and then to regular. > When he was g-tube fed, they would first give him Pedialyte, then 1/4 > formula and 3/4 Pedialyte and so on until he tolerated at least 3/4 > strength. > > Watch Dalia closely. If she has not cleared those ketones, she needs > to be readmitted. And do NOT take her home until she can tolerate > that formula. > > Jodi Z Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2005 Report Share Posted April 5, 2005 hi sheryl!! i will keep dalia in my thoughts and prayers and hope she is feeling well again soon!! jodie c Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2005 Report Share Posted April 5, 2005 So glad Dalia is home. I don't have any specific advice for you - but you are right that you should always follow your instincts! Dalia is lucky to have such a knowledgable and caring mother! Jane, mom to katie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2005 Report Share Posted April 6, 2005 Hi. Looks like we had similar experiences this weekend. Autumn was in the er saturday night, got fluids, then we had to go back sunday morning because she got worse and were admitted until today. She didn't have a stomach virus, but was not eating or drinking and was very dehydrated and spilling ketones and lethargic. I hope Dalia feels better. i know what you mean about learning not to second guess and go to the er, I read back a post I made on Sunday and I feel like smacking myself in the head because it is so obvious I should have rushed her back immediatly or even have insisted she stayed saturday night, I'm just new to all this, but I have learned my lesson! She had been admitted a year ago for the sam ething, but it was differnt then, she was barely 6 lbs and no one even though of sending her home. autumn is now drinking some, 13 -15 oz peptamin, but we are working on it. She's not losing fluids though or having trouble tolerating, it's just getting them in her that's the problem. She's not really interested in food though, has been like that for almost a week, but we are hopefully on our way back up becuase she is now accepting liquids. mom to Autumn 27 inch, down to a little over 15 lbs and still losing! Ocean 2 1/2 , Skye 6 1/2, baby girl due in July > > Hi all, > > Well we decided to revisit the ER on Sunday since Dalia still had > diarrhea and vomiting and was not getting better and I felt like she > was dehydrated. > > Dalia was admitted and immediately put on an IV of fluids, a shot of > glucose and then continuous dextrose. She had low blood sugar, was > acidotic and had ketones (I insisted they take urine to check). > > By Monday afternoon, after a very long evening of hardly any sleep, > her levels were all normal and the diarrhea and vomiting stopped so > we came home. They put her on a lactose free formula for today and > if all stayed down, and it did, we can start Pediasure again > tomorrow. > > I checked her ketones today and they were at moderate, which kind of > surprises me, but I'm assuming that with her keeping down the > formula it should go completely down soon. I just have to make sure > she drinks enough...she wasn't so into drinking a lot, which I > understand..I certainly don't want to eat anything when not feeling > well. She was also extremely tired all day and was catching up on > sleep. > > Anyway, I've learned that I should never second guess myself about > taking her to the ER the moment this type of thing happens. I > seriously drove myself crazy before returning to the ER on Sunday > because we were there on Friday and they sent us home saying she > didn't need an IV. I should have insisted then. > > So, does anyone have any experiences to share on how things > typically go once returning home from the hospital? I'd appreciate > any insight. > > Take care, > Sheryl (Dalia, 16 mos, SGA, now around 16 lbs, 27.25in) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2005 Report Share Posted April 7, 2005 Sorry you had to go through this too...Dalia is much better and is drinking her Pediasure well now...I am going to start her on yogurt and baby food today. The stress of not knowing whether or not to go to the hospital and fear of the unknown was enough to put me in the hospital...I swear I thought I had the virus too, but it was just extreme stress. Going through it this time has helped me learn a lot!!! Let's hope this never happens again. Sheryl (Dalia, SGA, now 16.4 lbs as of today, 27.25 in, Prilosec, Periactin and Mirilax - baby due in Aug) > > > > Hi all, > > > > Well we decided to revisit the ER on Sunday since Dalia still had > > diarrhea and vomiting and was not getting better and I felt like > she > > was dehydrated. > > > > Dalia was admitted and immediately put on an IV of fluids, a shot > of > > glucose and then continuous dextrose. She had low blood sugar, was > > acidotic and had ketones (I insisted they take urine to check). > > > > By Monday afternoon, after a very long evening of hardly any sleep, > > her levels were all normal and the diarrhea and vomiting stopped so > > we came home. They put her on a lactose free formula for today and > > if all stayed down, and it did, we can start Pediasure again > > tomorrow. > > > > I checked her ketones today and they were at moderate, which kind > of > > surprises me, but I'm assuming that with her keeping down the > > formula it should go completely down soon. I just have to make > sure > > she drinks enough...she wasn't so into drinking a lot, which I > > understand..I certainly don't want to eat anything when not feeling > > well. She was also extremely tired all day and was catching up on > > sleep. > > > > Anyway, I've learned that I should never second guess myself about > > taking her to the ER the moment this type of thing happens. I > > seriously drove myself crazy before returning to the ER on Sunday > > because we were there on Friday and they sent us home saying she > > didn't need an IV. I should have insisted then. > > > > So, does anyone have any experiences to share on how things > > typically go once returning home from the hospital? I'd appreciate > > any insight. > > > > Take care, > > Sheryl (Dalia, 16 mos, SGA, now around 16 lbs, 27.25in) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2005 Report Share Posted April 8, 2005 Hi Sheryl, Glad to hear Dalia is doing better, any new pics? How are you doing - must be hard to take good care of yourself. I talked with you alot at the convention - you are a great mother and are doing the right thing. Just because someone went to med school doesn't mean they know best for your child and that they know anything about RSS/SGA kids. I took the two pamphlets from MAGIC to the ER and made them staple them to the inside of her file for speedy reference. REALLY glad to hear she is doing better. , mom to MIchael 5 and Emerence 2, SGA/RSS 26 mo 20 lb 11 oz > > > > > > Hi all, > > > > > > Well we decided to revisit the ER on Sunday since Dalia still > had > > > diarrhea and vomiting and was not getting better and I felt like > > she > > > was dehydrated. > > > > > > Dalia was admitted and immediately put on an IV of fluids, a > shot > > of > > > glucose and then continuous dextrose. She had low blood sugar, > was > > > acidotic and had ketones (I insisted they take urine to check). > > > > > > By Monday afternoon, after a very long evening of hardly any > sleep, > > > her levels were all normal and the diarrhea and vomiting stopped > so > > > we came home. They put her on a lactose free formula for today > and > > > if all stayed down, and it did, we can start Pediasure again > > > tomorrow. > > > > > > I checked her ketones today and they were at moderate, which > kind > > of > > > surprises me, but I'm assuming that with her keeping down the > > > formula it should go completely down soon. I just have to make > > sure > > > she drinks enough...she wasn't so into drinking a lot, which I > > > understand..I certainly don't want to eat anything when not > feeling > > > well. She was also extremely tired all day and was catching up > on > > > sleep. > > > > > > Anyway, I've learned that I should never second guess myself > about > > > taking her to the ER the moment this type of thing happens. I > > > seriously drove myself crazy before returning to the ER on > Sunday > > > because we were there on Friday and they sent us home saying she > > > didn't need an IV. I should have insisted then. > > > > > > So, does anyone have any experiences to share on how things > > > typically go once returning home from the hospital? I'd > appreciate > > > any insight. > > > > > > Take care, > > > Sheryl (Dalia, 16 mos, SGA, now around 16 lbs, 27.25in) Quote Link to comment Share on other sites More sharing options...
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