Anyone do longterm tube feeding
This seems like an emergency call to the surgeon to me.
I am not a medical professional, but I am studying to be a bariatric dietician, and we have to learn these things as part of our coursework, as foods are the primary source of chemicals (vitamins, minerals) that regulate body functions.
You can't mess around with potassium. It is an electrolyte (conducts bioelectrical impulses) that regulates important body functions, most significantly, heartbeat.
The key is RDI, which is a figure based on the minimum required to stay healthy. It is usually hard to get too much, but it can happen, especially if you're getting it through nutrition and supplementation. Liquid nutrition, even with DSer's is better absorbed than solid food, so to put DS level supplementaton on top of that might be getting into overdosing.
People on diuretics usually have to supplement potassium, because of extra urine output. DSer's aren't absorbing everything, so of course we have to supplement, too, but even with the malabsorption, it is still possible to get too much and again, liquids are more efficiently absorbed, especially medical preparations used for parenteral nutrition.
Too little (hypokalemia), and it causes problems like heart palpitations, low blood pressure, nausea and vomiting. Too much (hyperkalemia), and it can cause symptoms like muscle weakness, fatigue, tingling sensations, or nausea, and, not trying to scare you, it can actually stop the heart.
I would put in an emergency call to the doctor. They have answering services, and though nobody likes to have to work on the weekend, he/she made that decision when they went through pre-med and medical school.
If it gets any worse, get her to the ER, and be prepared to fully explain the DS, with pictures. Go to www.dsfacts.com for a great illustration and explanation of the procedure.
Hope everything goes well for you.
Thank you for all the information. We did call saturday and talked to the bariatric surgeon on call and told him what was up. They are aware she is on the potassium and the feedings and shouldn't be an issue but we are calling back tomorrow like he suggested to get her in and get some more blood work done to see where she is at after being on the overnight feedings for a few days now just to be safe.
Thank you for your concern and good luck with your studies.
Thank you for your concern and good luck with your studies.